Provider Demographics
NPI:1932175296
Name:HUFFEY, DEBORAH L (LCSW)
Entity Type:Individual
Prefix:MS
First Name:DEBORAH
Middle Name:L
Last Name:HUFFEY
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:DEBBI
Other - Middle Name:L
Other - Last Name:HUFFEY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW
Mailing Address - Street 1:211 S GLENDORA AVE
Mailing Address - Street 2:#B
Mailing Address - City:GLENDORA
Mailing Address - State:CA
Mailing Address - Zip Code:91741-3455
Mailing Address - Country:US
Mailing Address - Phone:909-967-6081
Mailing Address - Fax:909-620-5845
Practice Address - Street 1:211 S GLENDORA AVE
Practice Address - Street 2:#B
Practice Address - City:GLENDORA
Practice Address - State:CA
Practice Address - Zip Code:91741-3455
Practice Address - Country:US
Practice Address - Phone:909-967-6081
Practice Address - Fax:909-620-5845
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-27
Last Update Date:2021-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS16828101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA77-0649116Medicare UPIN