Provider Demographics
NPI:1861638975
Name:DELAY, DEBORAH L (LCSW)
Entity Type:Individual
Prefix:MS
First Name:DEBORAH
Middle Name:L
Last Name:DELAY
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:DEBORAH
Other - Middle Name:
Other - Last Name:DELAY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW
Mailing Address - Street 1:1118 MIDWAY DR
Mailing Address - Street 2:
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75081-3633
Mailing Address - Country:US
Mailing Address - Phone:214-763-3053
Mailing Address - Fax:
Practice Address - Street 1:1475 RICHARDSON DR
Practice Address - Street 2:
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75080
Practice Address - Country:US
Practice Address - Phone:214-763-3053
Practice Address - Fax:972-889-2482
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-18
Last Update Date:2022-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX335991041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical