Doctor Name: | MRS. DEBRA LEE MCPHERSON |
NPI Number: | 1962627018 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CCC-SLP |
License Number: | SA3900 |
Business Practice Address: | 240 N Wickham Rd Suite 207 Melbourne, FL - 329358662 |
Business Phone Number: | 3217521500 |
Business Fax Number: | |
Mailing Address: | 420 Sheridan Ave, SATELLITE BEACH |
State: | FL |
Postal Code: | 329373048 |
Phone Number: | 3217734471 |
Fax Number: | |
NPI Enumeration Date: | 04/16/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SA3900 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
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 |