Provider Demographics
NPI:1265209985
Name:DEBORAH PARTINGTON PSYD LLC
Entity type:Organization
Organization Name:DEBORAH PARTINGTON PSYD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:
Authorized Official - Last Name:PARTINGTON
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:602-334-8154
Mailing Address - Street 1:PO BOX 44215
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85064-4215
Mailing Address - Country:US
Mailing Address - Phone:602-334-8154
Mailing Address - Fax:602-265-1482
Practice Address - Street 1:6232 N 7TH ST STE 204
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85014-1852
Practice Address - Country:US
Practice Address - Phone:602-334-8154
Practice Address - Fax:602-265-1482
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-04
Last Update Date:2023-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ103T00000XMedicaid