Provider Demographics
NPI:1144305541
Name:DEMENT, DEBRA L (LMFT, RS)
Entity type:Individual
Prefix:
First Name:DEBRA
Middle Name:L
Last Name:DEMENT
Suffix:
Gender:F
Credentials:LMFT, RS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5665 PLAZA DR STE 400
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:CA
Mailing Address - Zip Code:90630-5037
Mailing Address - Country:US
Mailing Address - Phone:562-293-0605
Mailing Address - Fax:
Practice Address - Street 1:5665 PLAZA DR STE 400
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:CA
Practice Address - Zip Code:90630-5037
Practice Address - Country:US
Practice Address - Phone:562-293-0605
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-25
Last Update Date:2021-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health