Provider Demographics
NPI:1841382132
Name:DAUPHINAIS, DEBORAH ROZENN (MD)
Entity Type:Individual
Prefix:DR
First Name:DEBORAH
Middle Name:ROZENN
Last Name:DAUPHINAIS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:IRENE
Other - Middle Name:DEBORAH
Other - Last Name:DAUPHINAIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:3421 CONCORD RD
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17402-9001
Mailing Address - Country:US
Mailing Address - Phone:717-339-2710
Mailing Address - Fax:
Practice Address - Street 1:40 V TWIN DR
Practice Address - Street 2:
Practice Address - City:GETTYSBURG
Practice Address - State:PA
Practice Address - Zip Code:17325-7875
Practice Address - Country:US
Practice Address - Phone:717-339-2710
Practice Address - Fax:717-208-8455
Is Sole Proprietor?:No
Enumeration Date:2006-09-28
Last Update Date:2023-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD00335852084P0800X
PAMD4537782084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA102997304Medicaid
DCMD19226OtherDC LICENSE NUMBER
MDD0033585OtherMARYLAND LICENSE NUMBER
MD14605Medicaid
MDE03108Medicare UPIN
MD485442Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER