Deborah Anne Share, LPP

Individual provider Active NPI Clinical Psychologist · Frenchburg, KY

NPI 1497763205 · NPPES record last updated Aug 3, 2022

Key facts

NPI
1497763205
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Psychologist 103TC0700X
License
114276 (KY)
Practice address
70 Main St
Frenchburg, KY 40322-8318
Phone
(606) 768-2131
Fax
(606) 768-2134
NPI assigned
Aug 4, 2006
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
114276KYMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Pathways Inc Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 114276 KY Yes

Addresses

Primary practice location

70 Main St
Frenchburg, KY 40322-8318

Mailing address

PO Box 790
Ashland, KY 41105-0790
Phone (606) 329-8588

Other identifiers

IdentifierTypeStateIssuer
000000238681OtherANTHEM BCBS
7100283990MedicaidKY
1741778OtherCAQH #

Other providers in Frenchburg, KY

All providers in Frenchburg, KY · Clinical Psychologist in Kentucky

Sources for this page

Verify at the official NPI Registry.