Basic Information
| Provider Information | |||||||||
| NPI: | 1558410894 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | WARING | ||||||||
| FirstName: | DEBORA | ||||||||
| MiddleName: | D. | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | PSY.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 253 NORTHPORT AVE | ||||||||
| Address2: | |||||||||
| City: | BELFAST | ||||||||
| State: | ME | ||||||||
| PostalCode: | 049156006 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2073384514 | ||||||||
| FaxNumber: | 2073384533 | ||||||||
| Practice Location | |||||||||
| Address1: | 253 NORTHPORT AVE | ||||||||
| Address2: | |||||||||
| City: | BELFAST | ||||||||
| State: | ME | ||||||||
| PostalCode: | 049156006 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2073384514 | ||||||||
| FaxNumber: | 2073384533 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/09/2007 | ||||||||
| LastUpdateDate: | 07/09/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 103TC0700X | PS1077 | ME | Y | Behavioral Health & Social Service Providers | Psychologist | Clinical |
ID Information
| ID | Type | State | Issuer | Description | 0007586637 | 01 | ME | AETNA | OTHER | 06Z048727ME01 | 01 | ME | ANTHEM | OTHER | 2202411 | 01 | ME | CIGNA BEHAVIORAL HEALTH | OTHER | 5016 | 01 | ME | SCHOOL DISTRICT #3 | OTHER | 349792 | 01 | ME | MHN | OTHER |