Provider Demographics
NPI:1457600116
Name:GIROUX, DEBORAH M (PHD, LP, LSSP)
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:M
Last Name:GIROUX
Suffix:
Gender:F
Credentials:PHD, LP, LSSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6500 CLAIRMONT DR
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78749-3429
Mailing Address - Country:US
Mailing Address - Phone:512-917-2144
Mailing Address - Fax:
Practice Address - Street 1:6500 CLAIRMONT DR
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78749-3429
Practice Address - Country:US
Practice Address - Phone:512-917-2144
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-09
Last Update Date:2012-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX34769103T00000X
TX34526103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool