Provider Demographics
NPI:1831242981
Name:WEINSTOCK-SAVOY, DEBORAH ELLEN (PHD)
Entity type:Individual
Prefix:DR
First Name:DEBORAH
Middle Name:ELLEN
Last Name:WEINSTOCK-SAVOY
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 1:1 JOHN BENSON RD
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:02420-1143
Mailing Address - Country:US
Mailing Address - Phone:781-862-3388
Mailing Address - Fax:781-862-5559
Practice Address - Street 1:1 JOHN BENSON RD
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:MA
Practice Address - Zip Code:02420-1143
Practice Address - Country:US
Practice Address - Phone:781-862-3388
Practice Address - Fax:781-862-5559
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-20
Last Update Date:2016-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA4502103T00000X, 103TC2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent