Provider Demographics
NPI:1750408803
Name:DROWN, DEBRA DAWN (PSYD)
Entity type:Individual
Prefix:DR
First Name:DEBRA
Middle Name:DAWN
Last Name:DROWN
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 170
Mailing Address - Street 2:20 WEST PARK ST STE 209
Mailing Address - City:LEBANON
Mailing Address - State:NH
Mailing Address - Zip Code:03766
Mailing Address - Country:US
Mailing Address - Phone:603-448-1775
Mailing Address - Fax:802-463-9743
Practice Address - Street 1:20 WEST PARK ST
Practice Address - Street 2:SUITE 209
Practice Address - City:LEBANON
Practice Address - State:NH
Practice Address - Zip Code:03766
Practice Address - Country:US
Practice Address - Phone:603-448-1775
Practice Address - Fax:802-463-9743
Is Sole Proprietor?:No
Enumeration Date:2007-03-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH429103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH0601753Y0H01OtherANTHEM BCBS