Provider Demographics
NPI:1619110731
Name:VADELL, DEBORAH ANN (LMFT)
Entity Type:Individual
Prefix:MRS
First Name:DEBORAH
Middle Name:ANN
Last Name:VADELL
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:351 NORTH STATE RD 7
Mailing Address - Street 2:SUITE 200
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33317-2859
Mailing Address - Country:US
Mailing Address - Phone:954-327-4060
Mailing Address - Fax:954-792-9122
Practice Address - Street 1:351 NORTH STATE RD 7
Practice Address - Street 2:SUITE 200
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33317-2859
Practice Address - Country:US
Practice Address - Phone:954-327-4060
Practice Address - Fax:954-792-9122
Is Sole Proprietor?:No
Enumeration Date:2009-04-20
Last Update Date:2011-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMT1705106H00000X
FLMT-1705106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist