Provider Demographics
NPI:1447327879
Name:GOOD, DEBORAH ANNE (PHD)
Entity type:Individual
Prefix:DR
First Name:DEBORAH
Middle Name:ANNE
Last Name:GOOD
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Gender:F
Credentials:PHD
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Mailing Address - Street 1:8600 ACADEMY RD NE
Mailing Address - Street 2:FAMILY THERAPY OF ALBUQUERQUE
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87111-1107
Mailing Address - Country:US
Mailing Address - Phone:505-821-3628
Mailing Address - Fax:505-856-7103
Practice Address - Street 1:8600 ACADEMY RD NE
Practice Address - Street 2:FAMILY THERAPY OF ALBUQUERQUE
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87111-1107
Practice Address - Country:US
Practice Address - Phone:505-821-3628
Practice Address - Fax:505-856-7103
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-29
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
NM1414, 934101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional