Active NPIIndividual providerSole proprietor

Andrea A Deboer, MFT

Marriage & Family Therapist in Branford, Connecticut

NPI Number1629016167
Practice location
678 Main St, 2ND Floor, Branford, CT 06405-3615
Fax
203-315-4865
Last updated
June 14, 2019

Andrea Antoinette Deboer is a Marriage & Family Therapist based in Branford, CT. Andrea Antoinette Deboer practices in Branford, CT and has the professional credentials of MFT. The NPI Number for Andrea Antoinette Deboer is 1629016167 and holds a License No. MT 2151 (FL). The current practice location address for Andrea Antoinette Deboer is 678 Main St, 2ND Floor, Branford, CT 06405-3615 and can be reached out via phone at 203-315-1028 and via fax at 203-315-4865.

Provider Profile Details

NPI Number
1629016167
Provider Name
Andrea Antoinette Deboer
Credential
MFT
Provider Entity Type
Individual
Gender
Female
Address
678 Main St, 2ND Floor, Branford, CT 06405-3615
Phone Number
203-315-1028
Fax Number
203-315-4865
Primary Taxonomy
Marriage & Family Therapist · 106H00000X
Sole Proprietor
Yes
Other Names
-- Andrea Antoinette Wheeler (Former Name)
Provider Enumeration Date
June 4, 2006
Last Update Date
June 14, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
678 Main St
2ND Floor
Branford, CT 06405-3615
Zip
06405-3615
Phone Number
203-315-1028
Fax Number
203-315-4865
Branford, CT 06405Get directions →

Provider Business Mailing Address Details

Address
678 Main St
2ND Floor
Branford, CT 06405-3615
City
Branford
State
CT
Zip
06405-3615
Phone Number
203-315-1028
Fax Number
203-315-4865

License Information

License Number (1)
MT 2151
License State (1)
FL
Taxonomy (1)
Marriage & Family Therapist · 106H00000X
License Number (2)
000720
License State (2)
CT
Taxonomy (2)
Marriage & Family Therapist · 106H00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Andrea A Deboer, MFT?

The NPI number of Andrea A Deboer, MFT is 1629016167. It was assigned on June 4, 2006 and is currently active in the NPPES registry.

What is the specialty of Andrea A Deboer, MFT?

Andrea A Deboer, MFT is registered under the primary taxonomy Marriage & Family Therapist (code 106H00000X), licensed in FL under license number MT 2151.

Where does Andrea A Deboer, MFT practice?

The practice location is 678 Main St, 2ND Floor, Branford, CT 06405-3615. The office can be reached at 203-315-1028 (phone) or 203-315-4865 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1629016167 directly on the NPPES registry website.

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