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Dr. Debra Japzon Gillum, PHD
Clinical Psychologist in Fayetteville, North Carolina
NPI 1649365503

Debra Japzon Gillum is a Clinical Psychologist based in Fayetteville, NC and is specialized in Clinical. Debra Japzon Gillum practices in Fayetteville, NC and has the professional credentials of PHD. The NPI Number for Debra Japzon Gillum is 1649365503 and holds a License No. 1708 (North Carolina).

The current practice location address for Debra Japzon Gillum is 1540 Purdue Dr, Fayetteville, NC and can be reached out via phone at 901-867-8889 and via fax at 901-867-8699.

Location: 1540 Purdue Dr, Fayetteville, NC, 28303-5510
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1649365503
Provider Name
Debra Japzon Gillum
Credential
PHD
Provider Entity Type
Individual
Gender
Female
Address
1540 Purdue Dr, Fayetteville, NC, 28303-5510
Phone Number
901-867-8889
Fax Number
901-867-8699
Provider Enumeration Date
10/04/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
6000388 05 NC
0450T 01 NC BCBS
institution
Provider Business Practice Location Address Details
Address
1540 Purdue Dr
City
Fayetteville
State
North Carolina
Zip
28303-5510
Phone Number
901-867-8889
Fax Number
901-867-8699
person
Provider Business Mailing Address Details
Address
1540 Purdue Dr
City
Fayetteville
State
North Carolina
Zip
28303-5510
Phone Number
901-867-8889
Fax Number
901-867-8699
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Clinical
Taxonomy
103TC0700X
License No.
1708 (North Carolina)
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
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