Provider Demographics
NPI:1841951456
Name:AHERN, DEBORAH (MS)
Entity type:Individual
Prefix:
First Name:DEBORAH
Middle Name:
Last Name:AHERN
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6815 LAKE TRAIL DR
Mailing Address - Street 2:
Mailing Address - City:WESTERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43082-8730
Mailing Address - Country:US
Mailing Address - Phone:954-232-3720
Mailing Address - Fax:
Practice Address - Street 1:6815 LAKE TRAIL DR
Practice Address - Street 2:
Practice Address - City:WESTERVILLE
Practice Address - State:OH
Practice Address - Zip Code:43082-8730
Practice Address - Country:US
Practice Address - Phone:954-232-3720
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-05
Last Update Date:2022-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician
No376J00000XNursing Service Related ProvidersHomemaker