Debra Grace Peterson-smith, LMHC is a
Counselor - Mental Health based in Bridgeport, New York. Debra Grace Peterson-smith is licensed to practice in New York (license number 000946) and her current practice location is
7652 State Route 31, Bridgeport, New York. She can be reached at her office (for appointments etc.) via phone at
(315) 247-0816.
NPI number for Debra Grace Peterson-smith is 1871230581 and her current mailing address is 7652 State Route 31, Bridgeport, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1871230581.
Healthcare Provider's Profile
| Full Name | Debra Grace Peterson-smith |
|---|
| Gender | Female |
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| Speciality | Counselor - Mental Health |
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| Location | 7652 State Route 31, Bridgeport, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1871230581
- Provider Enumeration Date: 05/14/2022
- Last Update Date: 05/14/2022
Medical Identifiers
Medical identifiers for Debra Grace Peterson-smith such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1871230581 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | 000946 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Debra Grace Peterson-smith is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Debra Grace Peterson-smith, LMHC
7652 State Route 31,
Bridgeport, NY 13030-8400
Ph: (315) 247-0816 | Debra Grace Peterson-smith, LMHC
7652 State Route 31,
Bridgeport, NY 13030-8400
Ph: (315) 247-0816 |
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