Proffitt, Deborah Hall

Proffitt, Deborah Hall is an sole proprietor health care provider with primary practice located at 4425 Randolph Rd Suite 206, Charlotte NC 28211-2348. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Proffitt, Deborah Hall can be contacted via phone (704) 609-4006.

Contact Information

Primary practice address
4425 Randolph Rd Suite 206 Charlotte NC 28211-2348
Phone: (704) 609-4006
Fax: (704) 442-1656
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 2443 North Carolina
Behavioral Health & Social Service Providers / Psychologist 103T00000X 2443 North Carolina

Profile Details

NPI number 1629020003
LBN Legal business name Proffitt, Deborah Hall
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 16th, 2006
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 1629020003 NPPES
North Carolina Other 2443 LICENSE- PSYCHOLOGICAL A.

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