Tremblay, Debra

Tremblay, Debra is an sole proprietor health care provider with primary practice located at 124 E 12Th St , Hays KS 67601-3608. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Tremblay, Debra can be contacted via phone (785) 628-3575.

Contact Information

Primary practice address
124 E 12Th St Hays KS 67601-3608
Phone: (785) 628-3575
Fax: (785) 621-2257
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 459 Kansas
Behavioral Health & Social Service Providers / Clinical 1041C0700X 1478 Kansas
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 0292 Kansas

Profile Details

NPI number 1699197087
LBN Legal business name Tremblay, Debra
Credentials LSCSW, LMTF
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 20th, 2014
Last updated Jan 20th, 2014 - about 10 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 1699197087 NPPES
Kansas MEDICAID 9660627940
Kansas Other 9094660627
Kansas MEDICAID 3306
Kansas MEDICAID 3063

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