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LISA L DEFFENBAUGH MSW
NPI 1396528352
Counselor - Mental Health in Fruitland Park, FL

Active since August 15, 2023
301 W BERCKMAN ST, FRUITLAND PARK, FL 34731(352) 702-2802 Get Directions Write a Review

NPPES record last updated: August 15, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lisa L Deffenbaugh Msw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LISA L DEFFENBAUGH MSW (NPI 1396528352) is an individual mental health provider in Fruitland Park, Florida and active in the NPI registry since August 2023.

NPPES Registry Identity

NPI1396528352
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameLISA L DEFFENBAUGHCredential: MSW
Location Address301 W BERCKMAN STFruitland Park, FL 34731-3265
Mailing Address301 W Berckman StFruitland Park, FL 34731-3265 · (352) 702-2802
Phone(352) 702-2802
Sole ProprietorYes
Enumeration DateAugust 15, 2023
NPPES CertifiedAugust 15, 2023
✔ NPI 1396528352 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
301 W BERCKMAN ST, Fruitland Park, FL 34731
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lisa Deffenbaugh's NPI number?

The NPI number for Lisa Deffenbaugh is 1396528352. It was assigned to this individual provider in the NPPES registry on August 15, 2023.

Where is Lisa Deffenbaugh located?

Lisa Deffenbaugh practices at 301 W Berckman St, Fruitland Park, FL 34731. The listed phone number is (352) 702-2802.

What is Lisa Deffenbaugh's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Lisa Deffenbaugh was last updated on August 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.