Devine, Deborah Ann

Devine, Deborah Ann is an sole proprietor health care provider with primary practice located at 921 W Avenue J , Lancaster CA 93534-3443. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Devine, Deborah Ann can be contacted via phone (661) 949-0131.

Contact Information

Primary practice address
921 W Avenue J Lancaster CA 93534-3443
Phone: (661) 949-0131
Fax: (661) 729-8912
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X LCS13014 California

Profile Details

NPI number 1104943695
LBN Legal business name Devine, Deborah Ann
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 22nd, 2007
Last updated Jul 9th, 2007 - about 17 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 1104943695 NPPES
California MEDICAID 00007473
California MEDICAID 00007301
California Other CBSC102

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