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Debora Elaine Willage, PHD
Health Service Psychologist in Madison, Indiana
NPI 1104923234

Debora Elaine Willage is a Health Service Psychologist based in Madison, IN and is specialized in Health Service. Debora Elaine Willage practices in Madison, IN and has the professional credentials of PHD. The NPI Number for Debora Elaine Willage is 1104923234 and holds a License No. 20040505A (Indiana).

The current practice location address for Debora Elaine Willage is 606 E Main St, Madison, IN and can be reached out via phone at 812-265-4151 and via fax at 812-265-5028. You can also correspond with Debora Elaine Willage through the mailing address at 606 E MAIN ST, MADISON, IN - 47250-4708 (mailing address contact number: 812-265-4151).

Location: 606 E Main St, Madison, IN, 47250-4708
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104923234
Provider Name
Debora Elaine Willage
Credential
PHD
Provider Entity Type
Individual
Gender
Female
Address
606 E Main St, Madison, IN, 47250-4708
Phone Number
812-265-4151
Fax Number
812-265-5028
Provider Enumeration Date
09/20/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200041700A 05 IN
institution
Provider Business Practice Location Address Details
Address
606 E Main St
City
Madison
State
Indiana
Zip
47250-4708
Phone Number
812-265-4151
Fax Number
812-265-5028
person
Provider Business Mailing Address Details
Address
606 E Main St
City
Madison
State
Indiana
Zip
47250-4708
Phone Number
812-265-4151
Fax Number
812-265-5028
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Health Service
Taxonomy
103TH0100X
License No.
20040505A (Indiana)
Definition
A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974).
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