Provider Demographics
NPI:1639983489
Name:RICH, DEBRA J (PHD)
Entity type:Individual
Prefix:DR
First Name:DEBRA
Middle Name:J
Last Name:RICH
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:356 NORMAN CIR
Mailing Address - Street 2:
Mailing Address - City:SMYRNA
Mailing Address - State:DE
Mailing Address - Zip Code:19977-1024
Mailing Address - Country:US
Mailing Address - Phone:650-799-2622
Mailing Address - Fax:
Practice Address - Street 1:356 NORMAN CIR
Practice Address - Street 2:
Practice Address - City:SMYRNA
Practice Address - State:DE
Practice Address - Zip Code:19977-1024
Practice Address - Country:US
Practice Address - Phone:650-799-2622
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-03
Last Update Date:2025-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health