Provider Demographics
NPI:1811196017
Name:MEUSE, DEBORAH (LIC AC)
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:
Last Name:MEUSE
Suffix:
Gender:F
Credentials:LIC AC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:58 REYNOLDS DR
Mailing Address - Street 2:
Mailing Address - City:PETERBOROUGH
Mailing Address - State:NH
Mailing Address - Zip Code:03458-1611
Mailing Address - Country:US
Mailing Address - Phone:603-924-1607
Mailing Address - Fax:
Practice Address - Street 1:20 DEPOT ST
Practice Address - Street 2:SUITE 20-230
Practice Address - City:PETERBOROUGH
Practice Address - State:NH
Practice Address - Zip Code:03458-1453
Practice Address - Country:US
Practice Address - Phone:603-562-5813
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-17
Last Update Date:2007-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH033171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist