Doctor Name: | DEBORAH JEAN MOON |
NPI Number: | 1346580271 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | SLP |
License Number: | 2624 |
Business Practice Address: | 1560 E 21st St Suite 210 Tulsa, OK - 741141351 |
Business Phone Number: | 9189499187 |
Business Fax Number: | |
Mailing Address: | 1560 E 21st St, Suite 210 TULSA |
State: | OK |
Postal Code: | 741141351 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 03/01/2013 |
NPI Last Update Date: | 03/01/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 2624 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OK |
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 |