Provider Demographics
NPI:1811013816
Name:PRICE, DEBORAH DALE (LMFT, LPC)
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:DALE
Last Name:PRICE
Suffix:
Gender:F
Credentials:LMFT, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:210 TURTLE BND
Mailing Address - Street 2:
Mailing Address - City:GEORGETOWN
Mailing Address - State:TX
Mailing Address - Zip Code:78628-2202
Mailing Address - Country:US
Mailing Address - Phone:512-663-0490
Mailing Address - Fax:512-819-0863
Practice Address - Street 1:3613 WILLIAMS DR
Practice Address - Street 2:SUITE 301
Practice Address - City:GEORGETOWN
Practice Address - State:TX
Practice Address - Zip Code:78628-1377
Practice Address - Country:US
Practice Address - Phone:512-663-0490
Practice Address - Fax:512-819-0863
Is Sole Proprietor?:No
Enumeration Date:2007-03-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX18043101YP2500X
TX5115106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist