Provider Demographics
NPI:1295990810
Name:BARRON, DEBORAH ANNE (LICENSED SOCIAL WORK)
Entity type:Individual
Prefix:MRS
First Name:DEBORAH
Middle Name:ANNE
Last Name:BARRON
Suffix:
Gender:F
Credentials:LICENSED SOCIAL WORK
Other - Prefix:MRS
Other - First Name:DEBBIE
Other - Middle Name:A
Other - Last Name:BARROW
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1108 ROSS CLARK CIRCLE
Mailing Address - Street 2:PO BOX 1687 SOUTHEAST ALABAMA MEDICAL CENTER
Mailing Address - City:DOTHAN
Mailing Address - State:AL
Mailing Address - Zip Code:36301
Mailing Address - Country:US
Mailing Address - Phone:334-793-8070
Mailing Address - Fax:334-793-8168
Practice Address - Street 1:1108 ROSS CLARK CIRCLE
Practice Address - Street 2:SOUTHEAST ALABAMA MEDICAL CENTER
Practice Address - City:DOTHAN
Practice Address - State:AL
Practice Address - Zip Code:36301
Practice Address - Country:US
Practice Address - Phone:334-793-8070
Practice Address - Fax:334-793-8168
Is Sole Proprietor?:No
Enumeration Date:2008-07-23
Last Update Date:2008-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL0685104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
DMF884626572OtherBLUE CROSS
38701OtherGROUP