Individual provider · Type 1 NPI
Asia Nicole Deberry
Health Service Psychologist · Indianapolis, IN
Practice location
9156 Granville Ct
Indianapolis, IN 46229-2042
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Health Service Psychologist Primary | 103TH0100X | 014956 (IN) |
Health Service Psychologist: A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974).
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About NPI 1366160822
Asia Nicole Deberry's National Provider Identifier is 1366160822, issued on Aug 19, 2022. The primary taxonomy on file is Health Service Psychologist (103TH0100X), and the practice location is in Indianapolis, IN. The record was last updated on Nov 28, 2022.