Provider Demographics
NPI:1629390604
Name:CARLIN, DEBORAH DEE (LMT, LCT)
Entity Type:Individual
Prefix:MS
First Name:DEBORAH
Middle Name:DEE
Last Name:CARLIN
Suffix:
Gender:F
Credentials:LMT, LCT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:535 NE 36TH AVE
Mailing Address - Street 2:#1
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34470-1325
Mailing Address - Country:US
Mailing Address - Phone:352-694-6044
Mailing Address - Fax:352-624-9240
Practice Address - Street 1:535 NE 36TH AVE
Practice Address - Street 2:#1
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34470-1325
Practice Address - Country:US
Practice Address - Phone:352-694-6044
Practice Address - Fax:352-624-9240
Is Sole Proprietor?:No
Enumeration Date:2010-02-18
Last Update Date:2010-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMA11062174400000X
FLCT11062174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL8870OtherBCBS