Doctor Name: | DEBORAH ANN POWELL |
NPI Number: | 1053363069 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | SPT |
License Number: | SLP4648 |
Business Practice Address: | 3341 E Queen Creek Rd # 109 Gilbert, AZ - 852978503 |
Business Phone Number: | 4806218361 |
Business Fax Number: | 4806218513 |
Mailing Address: | 1087 E. Nickleback St., QUEEN CREEK |
State: | AZ |
Postal Code: | 852437901 |
Phone Number: | 4807775944 |
Fax Number: | |
NPI Enumeration Date: | 05/17/2006 |
NPI Last Update Date: | 10/24/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SLP4648 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |