Provider Demographics
NPI:1902026974
Name:DOINEAU, DEBORAH ENNIS (EDD)
Entity Type:Individual
Prefix:DR
First Name:DEBORAH
Middle Name:ENNIS
Last Name:DOINEAU
Suffix:
Gender:F
Credentials:EDD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2900 BELMONT BLVD
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37212-5908
Mailing Address - Country:US
Mailing Address - Phone:615-383-8654
Mailing Address - Fax:615-292-1136
Practice Address - Street 1:2120 CRESTMOOR RD STE 3011
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37215-2613
Practice Address - Country:US
Practice Address - Phone:615-297-1816
Practice Address - Fax:615-292-1136
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNP-1712103TP0016X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TP0016XBehavioral Health & Social Service ProvidersPsychologistPrescribing (Medical)