| Doctor Name: | DEBBIE SUSAN IBRAHIM |
| NPI Number: | 1346311750 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MS,CCC-SLP |
| License Number: | SP#921 |
| Business Practice Address: | 1315 Walnut St Texarkana, TX - 755014446 |
| Business Phone Number: | 9037942705 |
| Business Fax Number: | |
| Mailing Address: | 3001 Walnut St, TEXARKANA |
| State: | TX |
| Postal Code: | 755033738 |
| Phone Number: | 9037942705 |
| Fax Number: | |
| NPI Enumeration Date: | 11/10/2006 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | SP#921 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | AR |
| 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 |