Provider Demographics
NPI:1831135607
Name:TROYER BUCK, DEBRA J (PHD, HSPP)
Entity Type:Individual
Prefix:
First Name:DEBRA
Middle Name:J
Last Name:TROYER BUCK
Suffix:
Gender:F
Credentials:PHD, HSPP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11249 SHOREVIEW CIR
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46236-8626
Mailing Address - Country:US
Mailing Address - Phone:317-679-9802
Mailing Address - Fax:
Practice Address - Street 1:11249 SHOREVIEW CIR
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46236-8626
Practice Address - Country:US
Practice Address - Phone:317-679-9802
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-21
Last Update Date:2023-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN20040856103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200000380Medicaid
IN200000380Medicaid
IN676300DMedicare PIN
INM400022916Medicare PIN