Provider Demographics
NPI:1134241177
Name:PAYTON, DEBORAH M (LADC)
Entity type:Individual
Prefix:DR
First Name:DEBORAH
Middle Name:M
Last Name:PAYTON
Suffix:
Gender:F
Credentials:LADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 114
Mailing Address - Street 2:
Mailing Address - City:TAHLEQUAH
Mailing Address - State:OK
Mailing Address - Zip Code:74465-0114
Mailing Address - Country:US
Mailing Address - Phone:580-421-5821
Mailing Address - Fax:
Practice Address - Street 1:442606 E. 250 RD
Practice Address - Street 2:
Practice Address - City:VINITA
Practice Address - State:OK
Practice Address - Zip Code:74301
Practice Address - Country:US
Practice Address - Phone:918-256-3392
Practice Address - Fax:918-256-6859
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-03
Last Update Date:2008-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)