Provider Demographics
NPI:1821182841
Name:DEAN, DAVID (EDD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:
Last Name:DEAN
Suffix:
Gender:M
Credentials:EDD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7296 BREWSTER ST
Mailing Address - Street 2:
Mailing Address - City:NAVARRE
Mailing Address - State:FL
Mailing Address - Zip Code:32566-6738
Mailing Address - Country:US
Mailing Address - Phone:850-939-7628
Mailing Address - Fax:
Practice Address - Street 1:DEPLOYMENT HEALTH - NAVAL HOSPITAL PENSACOLA
Practice Address - Street 2:6000 WEST HIGHWAY 98
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32512
Practice Address - Country:US
Practice Address - Phone:850-505-6174
Practice Address - Fax:850-505-6933
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN20040522A103TH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TH0100XBehavioral Health & Social Service ProvidersPsychologistHealth Service