Provider Demographics
NPI:1952448763
Name:TRITT-DOTY, DEBRA ELAINE (MS)
Entity Type:Individual
Prefix:MRS
First Name:DEBRA
Middle Name:ELAINE
Last Name:TRITT-DOTY
Suffix:
Gender:F
Credentials:MS
Other - Prefix:MISS
Other - First Name:DEBRA
Other - Middle Name:ELAINE
Other - Last Name:TRITT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BA
Mailing Address - Street 1:33 STATE AVE
Mailing Address - Street 2:
Mailing Address - City:CARLISLE
Mailing Address - State:PA
Mailing Address - Zip Code:17013-4432
Mailing Address - Country:US
Mailing Address - Phone:717-243-6033
Mailing Address - Fax:717-243-0776
Practice Address - Street 1:33 STATE AVE
Practice Address - Street 2:
Practice Address - City:CARLISLE
Practice Address - State:PA
Practice Address - Zip Code:17013-4432
Practice Address - Country:US
Practice Address - Phone:717-243-6033
Practice Address - Fax:717-243-0776
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health