Provider Demographics
NPI:1043872096
Name:LAVOO, DEBBIE (MSED)
Entity type:Individual
Prefix:
First Name:DEBBIE
Middle Name:
Last Name:LAVOO
Suffix:
Gender:F
Credentials:MSED
Other - Prefix:
Other - First Name:DEBORAH
Other - Middle Name:
Other - Last Name:SQUIRES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:15 SLOAN DR
Mailing Address - Street 2:
Mailing Address - City:GREENWICH
Mailing Address - State:NY
Mailing Address - Zip Code:12834-2926
Mailing Address - Country:US
Mailing Address - Phone:518-242-0374
Mailing Address - Fax:
Practice Address - Street 1:15 SLOAN DR
Practice Address - Street 2:
Practice Address - City:GREENWICH
Practice Address - State:NY
Practice Address - Zip Code:12834-2926
Practice Address - Country:US
Practice Address - Phone:518-242-0374
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-30
Last Update Date:2019-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency