Ebener, Deborah
Ebener, Deborah is an sole proprietor health care provider with primary practice located at 1334 Timberlane Rd Suite 2, Tallahassee FL 32312-1766. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Adult Development & Aging, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Rehabilitation. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Ebener, Deborah can be contacted via phone (850) 766-1669.Contact Information
Primary practice address
1334 Timberlane Rd Suite 2
Tallahassee FL 32312-1766
Phone: (850) 766-1669
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | PY5093 | Florida |
| Behavioral Health & Social Service Providers / Adult Development & Aging | 103TA0700X | PY5093 | Florida |
| Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | PY5093 | Florida |
| Behavioral Health & Social Service Providers / Rehabilitation | 103TR0400X | PY5093 | Florida |
Profile Details
| NPI number | 1578570909 |
|---|---|
| LBN Legal business name | Ebener, Deborah |
| Credentials | PH.D., CRC, NCC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 1st, 2006 |
| Last updated | Apr 1st, 2010 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1578570909 | NPPES |
| Florida | Other | 59612 | BLUE CROSS BLUE SHIELD |
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