Hayden, Debora J

Hayden, Debora J is an sole proprietor health care provider with primary practice located at 12700 Fee Fee Rd , Saint Louis MO 63146-4402. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Hayden, Debora J can be contacted via phone (314) 989-9449.

Contact Information

Primary practice address
12700 Fee Fee Rd Saint Louis MO 63146-4402
Phone: (314) 989-9449
Fax: (314) 989-9333
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 000970 Missouri

Profile Details

NPI number 1003897984
LBN Legal business name Hayden, Debora J
Credentials MSW, LCSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 8th, 2005
Last updated Mar 2nd, 2024 - about 2 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 1003897984 NPPES
Missouri MEDICAID 493380018
Missouri MEDICAID 75338005

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