Debbie Deberry, LSPE

Primary specialty

School PsychologistTaxonomy code 103TS0200X

License

1482 Issued in TN

Practice address

133 Mecklinburg Dr
Bolivar, TN 38008-1747

Phone

(731) 343-3084

NPI assigned

Jul 10, 2017

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1499644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1649792813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 MECKLINBURG DR",
            "city": "BOLIVAR",
            "state": "TN",
            "postal_code": "380081747",
            "telephone_number": "731-343-3084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 MECKLINBURG DR",
            "city": "BOLIVAR",
            "state": "TN",
            "postal_code": "380081747",
            "telephone_number": "731-343-3084"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "622 W Market St",
            "address_purpose": "LOCATION",
            "city": "Bolivar",
            "state": "TN",
            "postal_code": "380082241",
            "country_code": "US",
            "telephone_number": "731-343-3084",
            "fax_number": "731-343-3084",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEBERRY",
        "first_name": "DEBBIE",
        "name_prefix": "Mrs.",
        "credential": "LSPE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-10",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "TN",
            "license": "1482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Avanti Cross-Brown, DNP, PMHNP, CARN-AP
• Jennifer Cross, LPN
• Leigh Boston Cummings, DPH
• Charles Currie
• Lisa Daniel, LPC
• Katherine Anne Decolibus, DDS
• Tatyana Demato, MSW
• Joan Charlene Dewey, COTA
• Lawrence Diaz, D.O.
• Deborah Dillard

• School Psychologist in Bolivar, TN
• Providers in Bolivar, TN by specialty
• School Psychologist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.