Provider Demographics
NPI:1801097159
Name:HUSS, DEBRA BRIGHT (PHD)
Entity type:Individual
Prefix:
First Name:DEBRA
Middle Name:BRIGHT
Last Name:HUSS
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:DEBRA
Other - Middle Name:LYNN
Other - Last Name:BRIGHT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHD
Mailing Address - Street 1:PO BOX 402145
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30384-2145
Mailing Address - Country:US
Mailing Address - Phone:803-296-7303
Mailing Address - Fax:803-296-7330
Practice Address - Street 1:100 PALMETTO HEALTH PKWY
Practice Address - Street 2:SUITE 250
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29212-1753
Practice Address - Country:US
Practice Address - Phone:803-907-7675
Practice Address - Fax:803-907-7699
Is Sole Proprietor?:No
Enumeration Date:2007-05-31
Last Update Date:2016-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY000000739845OtherANTHEM PIN
KY9892792OtherAETNA
SCPS0593Medicaid
KY9892792OtherAETNA
SCPS0593Medicaid
KY000000739845OtherANTHEM PIN