Provider Demographics
NPI:1760243810
Name:VARLAND, DEBORAH (MA MAT ATR-BC)
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:
Last Name:VARLAND
Suffix:
Gender:F
Credentials:MA MAT ATR-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4500 COOPER RD STE 303
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45242-5600
Mailing Address - Country:US
Mailing Address - Phone:513-940-7175
Mailing Address - Fax:513-940-7176
Practice Address - Street 1:4500 COOPER RD STE 303
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45242-5600
Practice Address - Country:US
Practice Address - Phone:513-940-7175
Practice Address - Fax:513-940-7176
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-17
Last Update Date:2024-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH95-113221700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes221700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersArt TherapistGroup - Single Specialty