Provider Demographics
NPI:1457699308
Name:KRET, DEBORAH R (MM, MT-BC, NMT)
Entity Type:Individual
Prefix:MS
First Name:DEBORAH
Middle Name:R
Last Name:KRET
Suffix:
Gender:F
Credentials:MM, MT-BC, NMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:327 E BEATRYCE ST
Mailing Address - Street 2:
Mailing Address - City:TEMPE
Mailing Address - State:AZ
Mailing Address - Zip Code:85281-1001
Mailing Address - Country:US
Mailing Address - Phone:480-363-9524
Mailing Address - Fax:
Practice Address - Street 1:327 E BEATRYCE ST
Practice Address - Street 2:
Practice Address - City:TEMPE
Practice Address - State:AZ
Practice Address - Zip Code:85281-1001
Practice Address - Country:US
Practice Address - Phone:480-363-9524
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-28
Last Update Date:2013-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist