Provider Demographics
NPI:1710029905
Name:STURM, DEBORAH SUE (PHD)
Entity Type:Individual
Prefix:DR
First Name:DEBORAH
Middle Name:SUE
Last Name:STURM
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:109 PONEMAH RD
Mailing Address - Street 2:#10 SPRUCE PARK PROFESSIONAL CENTER
Mailing Address - City:AMHERST
Mailing Address - State:NH
Mailing Address - Zip Code:03031
Mailing Address - Country:US
Mailing Address - Phone:603-672-9660
Mailing Address - Fax:603-672-9660
Practice Address - Street 1:109 PONEMAH RD
Practice Address - Street 2:#10 SPRUCE PARK PROFESSIONAL CENTER
Practice Address - City:AMHERST
Practice Address - State:NH
Practice Address - Zip Code:03031
Practice Address - Country:US
Practice Address - Phone:603-672-9660
Practice Address - Fax:603-672-9660
Is Sole Proprietor?:No
Enumeration Date:2007-02-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH437103TC0700X, 103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Not Answered103T00000XBehavioral Health & Social Service ProvidersPsychologist