Doctor Name: | DEBRA L. MCBRIDE |
NPI Number: | 1194931147 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S., CCC-SLP |
License Number: | SLP.0000821 |
Business Practice Address: | 5351 Three Sisters Cir Evergreen, CO - 804397501 |
Business Phone Number: | 3033584849 |
Business Fax Number: | |
Mailing Address: | Po Box 1944, EVERGREEN |
State: | CO |
Postal Code: | 804371944 |
Phone Number: | 3033584849 |
Fax Number: | |
NPI Enumeration Date: | 05/15/2007 |
NPI Last Update Date: | 01/12/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SLP.0000821 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
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 |