Dr Kim Deffebach, PHD is a
Psychologist based in Melbourne Beach, Florida. Dr Kim Deffebach is licensed to practice in Florida (license number PY 6195) and her current practice location is
1101 River Rd, Melbourne Beach, Florida. She can be reached at her office (for appointments etc.) via phone at
(321) 223-0147.
NPI number for Dr Kim Deffebach is 1417174368 and her current mailing address is 1101 River Rd, Melbourne Beach, Florida. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1417174368.
Healthcare Provider's Profile
| Full Name | Dr Kim Deffebach |
|---|
| Gender | Female |
|---|
| Speciality | Psychologist |
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| Location | 1101 River Rd, Melbourne Beach, Florida |
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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: 1417174368
- Provider Enumeration Date: 04/20/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Kim Deffebach such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1417174368 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103T00000X | Psychologist | PY 6195 (Florida) | 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 Kim Deffebach 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 Kim Deffebach, PHD
1101 River Rd,
Melbourne Beach, FL 32951-2533
Ph: (321) 223-0147 | Dr Kim Deffebach, PHD
1101 River Rd,
Melbourne Beach, FL 32951-2533
Ph: (321) 223-0147 |
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