Provider Demographics
NPI:1700820289
Name:KUHN, DEBRA (PHD)
Entity type:Individual
Prefix:DR
First Name:DEBRA
Middle Name:
Last Name:KUHN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:140 S WINDSOR AVE
Mailing Address - Street 2:
Mailing Address - City:BRIGHTWATERS
Mailing Address - State:NY
Mailing Address - Zip Code:11718-1506
Mailing Address - Country:US
Mailing Address - Phone:631-666-3354
Mailing Address - Fax:631-666-1663
Practice Address - Street 1:140 S WINDSOR AVE
Practice Address - Street 2:
Practice Address - City:BRIGHTWATERS
Practice Address - State:NY
Practice Address - Zip Code:11718-1506
Practice Address - Country:US
Practice Address - Phone:631-666-3354
Practice Address - Fax:631-666-1663
Is Sole Proprietor?:No
Enumeration Date:2006-06-15
Last Update Date:2024-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY7848-1103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYV69761Medicare ID - Type Unspecified