Clatterbuck, Debra

Clatterbuck, Debra is an sole proprietor health care provider with primary practice located at 3270 Albert Long Dr , Harrisonburg VA 22801-2472. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Agencies / Community/Behavioral Health. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Clatterbuck, Debra can be contacted via phone (540) 432-8660.

Contact Information

Primary practice address
3270 Albert Long Dr Harrisonburg VA 22801-2472
Phone: (540) 432-8660
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 0701005580 Virginia
Agencies / Community/Behavioral Health 251S00000X 1691-05-001 Virginia

Profile Details

NPI number 1760887665
LBN Legal business name Clatterbuck, Debra
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 4th, 2014
Last updated Nov 4th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760887665 NPPES
Other 12657575 CAQH
MEDICAID 1154602639 CAQH

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