King, Deborah Martin

King, Deborah Martin is an sole proprietor health care provider with primary practice located at 4131 Spicewood Springs Rd Suite Q-2, Austin TX 78759-8661. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Health Service. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. King, Deborah Martin can be contacted via phone (512) 338-4095.

Contact Information

Primary practice address
4131 Spicewood Springs Rd Suite Q-2 Austin TX 78759-8661
Phone: (512) 338-4095
Fax: (512) 338-4070
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 22327 Texas
Behavioral Health & Social Service Providers / Health Service 103TH0100X 22327 Texas

Profile Details

NPI number 1477688505
LBN Legal business name King, Deborah Martin
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 22nd, 2007
Last updated Jul 8th, 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 1477688505 NPPES
Texas Other 00A79L BLUE CROSS BLUE SHIELD
Texas MEDICAID P000A79L6 BLUE CROSS BLUE SHIELD

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