Provider Demographics
NPI:1871877555
Name:HAYES, DEBORAH A (MED)
Entity type:Individual
Prefix:MRS
First Name:DEBORAH
Middle Name:A
Last Name:HAYES
Suffix:
Gender:F
Credentials:MED
Other - Prefix:
Other - First Name:DEBORAH
Other - Middle Name:ANN
Other - Last Name:BROKUS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MED
Mailing Address - Street 1:12024 N KOLIN RD
Mailing Address - Street 2:
Mailing Address - City:MOCCASIN
Mailing Address - State:MT
Mailing Address - Zip Code:59462-9558
Mailing Address - Country:US
Mailing Address - Phone:406-350-0928
Mailing Address - Fax:
Practice Address - Street 1:12024 N KOLIN RD
Practice Address - Street 2:
Practice Address - City:MOCCASIN
Practice Address - State:MT
Practice Address - Zip Code:59462-9558
Practice Address - Country:US
Practice Address - Phone:406-350-0928
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-29
Last Update Date:2023-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health