Dr Debra Theobald Mcclendon, PHD is a
Psychologist - Clinical based in Woodland Hills, Utah. Dr Debra Theobald Mcclendon is licensed to practice in Utah (license number 7685430-2501) and her current practice location is
30 E Schoolhouse Dr, Woodland Hills, Utah. She can be reached at her office (for appointments etc.) via phone at
(801) 319-0904.
NPI number for Dr Debra Theobald Mcclendon is 1063015899 and her current mailing address is 30 E Schoolhouse Dr, Woodland Hills, Utah. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1063015899.
Healthcare Provider's Profile
Full Name | Dr Debra Theobald Mcclendon |
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Gender | Female |
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Speciality | Psychologist - Clinical |
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Location | 30 E Schoolhouse Dr, Woodland Hills, Utah |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1063015899
- Provider Enumeration Date: 11/16/2020
- Last Update Date: 11/16/2020
Medical Identifiers
Medical identifiers for Dr Debra Theobald Mcclendon such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1063015899 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TC0700X | Psychologist - Clinical | 7685430-2501 (Utah) | 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. Dr Debra Theobald Mcclendon 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 |
Dr Debra Theobald Mcclendon, PHD 30 E Schoolhouse Dr, Woodland Hills, UT 84653-2011 Ph: (801) 319-0904 | Dr Debra Theobald Mcclendon, PHD 30 E Schoolhouse Dr, Woodland Hills, UT 84653-2011 Ph: (801) 319-0904 |
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