Rayburn, Deborah

Rayburn, Deborah is an individual health care provider with primary practice located at N84W15787 Menomonee Ave Suite 6, Menomonee Falls WI 53051-3081. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Rayburn, Deborah can be contacted via phone (262) 255-5571.

Contact Information

Primary practice address
N84W15787 Menomonee Ave Suite 6 Menomonee Falls WI 53051-3081
Phone: (262) 255-5571
Fax: (262) 255-5581
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 13266 Wisconsin
Behavioral Health & Social Service Providers / Professional 101YP2500X 3402-125 Wisconsin

Profile Details

NPI number 1417964008
LBN Legal business name Rayburn, Deborah
Credentials LPC, CADC III
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 3rd, 2006
Last updated Jan 2nd, 2008 - about 16 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 1417964008 NPPES
Wisconsin MEDICAID 40970200

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