Basic Information
Provider Information
NPI: 1629385802
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SCHIFFER
FirstName: DEBORAH
MiddleName: BRANDEL
NamePrefix: MRS.
NameSuffix:  
Credential: M.A., LPC
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: WESTERMAN
OtherFirstName: DEBORAH
OtherMiddleName: BRANDEL
OtherNamePrefix: MS.
OtherNameSuffix:  
OtherCredential: M.A., LPC
OtherLastNameType: 1
Mailing Information
Address1: 2387 E WALTON BLVD
Address2:  
City: AUBURN HILLS
State: MI
PostalCode: 483261955
CountryCode: US
TelephoneNumber: 2484756300
FaxNumber:  
Practice Location
Address1: 2387 E WALTON BLVD
Address2:  
City: AUBURN HILLS
State: MI
PostalCode: 483261955
CountryCode: US
TelephoneNumber: 2484756300
FaxNumber:  
Other Information
ProviderEnumerationDate: 09/09/2010
LastUpdateDate: 09/09/2010
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
101YP2500X6401006433MIY Behavioral Health & Social Service ProvidersCounselorProfessional

No ID Information.


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