Kirk Elder, Deborah

Kirk Elder, Deborah is an sole proprietor health care provider with primary practice located at 2200 E River Rd Suite 121, Tucson AZ 85718-6514. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Kirk Elder, Deborah can be contacted via phone (520) 577-3652.

Contact Information

Primary practice address
2200 E River Rd Suite 121 Tucson AZ 85718-6514
Fax: (520) 577-3516
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X LCSW0558 Arizona

Profile Details

NPI number 1902886633
LBN Legal business name Kirk Elder, Deborah
Credentials MSW, ACSW, LCSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 19th, 2006
Last updated Apr 16th, 2015 - about 11 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 1902886633 NPPES
Arizona MEDICAID 799322

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