Basic Information
| Provider Information | |||||||||
| NPI: | 1093992398 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | MCMAKIN | ||||||||
| FirstName: | DEBORAH | ||||||||
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| Mailing Information | |||||||||
| Address1: | 600 WORCESTER RD | ||||||||
| Address2: | SUITE 201 | ||||||||
| City: | FRAMINGHAM | ||||||||
| State: | MA | ||||||||
| PostalCode: | 017025303 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5088751110 | ||||||||
| FaxNumber: | 5088751130 | ||||||||
| Practice Location | |||||||||
| Address1: | 600 WORCESTER RD | ||||||||
| Address2: | SUITE 201 | ||||||||
| City: | FRAMINGHAM | ||||||||
| State: | MA | ||||||||
| PostalCode: | 017025303 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5088751110 | ||||||||
| FaxNumber: | 5088751130 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/29/2008 | ||||||||
| LastUpdateDate: | 11/05/2016 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 1041C0700X | E268590 | MA | N | Behavioral Health & Social Service Providers | Social Worker | Clinical | 1041C0700X | 111542 | MA | Y | Behavioral Health & Social Service Providers | Social Worker | Clinical |
No ID Information.