Provider Demographics
NPI:1780957324
Name:REEVES, DEBORAH HARRIS (PHD)
Entity type:Individual
Prefix:DR
First Name:DEBORAH
Middle Name:HARRIS
Last Name:REEVES
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:DEBORAH
Other - Middle Name:
Other - Last Name:HARRIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHD
Mailing Address - Street 1:133 DEFENSE HWY
Mailing Address - Street 2:STE 213, ROOM 2
Mailing Address - City:ANNAPOLIS
Mailing Address - State:MD
Mailing Address - Zip Code:21401-8907
Mailing Address - Country:US
Mailing Address - Phone:301-938-8299
Mailing Address - Fax:240-525-5687
Practice Address - Street 1:133 DEFENSE HWY, STE 213, ROOM 2
Practice Address - Street 2:
Practice Address - City:ANNAPOLIS
Practice Address - State:MD
Practice Address - Zip Code:21401-8907
Practice Address - Country:US
Practice Address - Phone:301-938-8299
Practice Address - Fax:240-525-5687
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-13
Last Update Date:2022-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD02147103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD02147OtherLICENSE