Provider Demographics
NPI:1891005724
Name:DEBORAH C. MAY, PHD, PLLC
Entity Type:Organization
Organization Name:DEBORAH C. MAY, PHD, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER/MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:CARROLL
Authorized Official - Last Name:MAY
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:580-237-4100
Mailing Address - Street 1:1202 W WILLOW RD
Mailing Address - Street 2:SUITE B
Mailing Address - City:ENID
Mailing Address - State:OK
Mailing Address - Zip Code:73703-2530
Mailing Address - Country:US
Mailing Address - Phone:580-237-4100
Mailing Address - Fax:866-237-2244
Practice Address - Street 1:1202 W WILLOW RD
Practice Address - Street 2:SUITE B
Practice Address - City:ENID
Practice Address - State:OK
Practice Address - Zip Code:73703-2530
Practice Address - Country:US
Practice Address - Phone:580-237-4100
Practice Address - Fax:866-237-2244
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-13
Last Update Date:2010-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK685103TH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TH0100XBehavioral Health & Social Service ProvidersPsychologistHealth ServiceGroup - Single Specialty