Provider Demographics
NPI:1942544275
Name:MEESE, DEBORAH H (APC)
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:H
Last Name:MEESE
Suffix:
Gender:F
Credentials:APC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24 W SERGEANT COURT DR
Mailing Address - Street 2:SUITE 202
Mailing Address - City:SARATOGA SPRINGS
Mailing Address - State:UT
Mailing Address - Zip Code:84045-5807
Mailing Address - Country:US
Mailing Address - Phone:801-558-5170
Mailing Address - Fax:
Practice Address - Street 1:24 W SERGEANT COURT DR
Practice Address - Street 2:SUITE 202
Practice Address - City:SARATOGA SPRINGS
Practice Address - State:UT
Practice Address - Zip Code:84045-5807
Practice Address - Country:US
Practice Address - Phone:801-558-5170
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-27
Last Update Date:2014-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT8308115-6009101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health