Deaphine Dew
Psychologist, Counseling in Waukegan, IL. Individual provider (NPI-1).
NPI number1366072589
StatusActive
Last updated in NPPESJan 16, 2020
Details
- NPI
- 1366072589
- Entity type
- Individual (NPI-1)
- Name
- Deaphine Dew
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 16, 2020
- Certification date
- Jan 16, 2020
- Last updated
- Jan 16, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC1900X | Psychologist, Counseling | – | – | Yes |
Practice location
2025 Washington StWaukegan, IL 60085-5131
Phone 847-360-1020
Mailing address
2025 Washington StWaukegan, IL 60085-5131
Phone 847-360-1020
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