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Provider Information for 1790261667


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DEBRA LYNN FRENCH POPE MS


Sex: Female

NPI: 1790261667
Last Updated: 2018-07-13
Certification Date:

Details

NameValue
NPI1790261667
Enumeration Date2018-07-13
NPI TypeNPI-1 Individual
Sole ProprietorYES
StatusActive
Mailing Address 9430 MARINO CIR APT 303
NAPLES, FL 34114-4503
United States

Phone: 407-624-7262 | Fax:
 
Primary Practice Address 11983 TAMIAMI TRL N STE 152
NAPLES, FL 34110-1609
United States

Phone: 407-624-7262 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 193400000X - Multiple Single Specialty Group
101YM0800X - Counselor - Mental Health
FLIMH15100