Deborah Lynn Willis in Logan - Speech-language Pathologist
Deborah Lynn Willis - NPI 1467639856
Deborah Lynn Willis is a Speech-language Pathologist in Logan, . Deborah Lynn Willis practices all healthcare services and medical treatments related to Speech-language Pathologist. The NPI Number for Deborah Lynn Willis is 1467639856. The last update date is 2008-01-28.
Deborah Lynn Willis's current location address is 506 Holly Ave, Logan, . You can contact this provider via phone number 3047922075. The mailing address for Deborah Lynn Willis is 506 Holly Ave, Logan, . To know further, please read the information below!
Provider Profile Detail
| Provider Name | Deborah Lynn Willis |
|---|---|
| Address | 506 Holly Ave, Logan, |
| Phone Number | 3047922075 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | MA CCC SLP |
NPI Number Detail
| NPI Number | 1467639856 |
|---|---|
| Provider Enumeration Date | 2008-01-28 |
| Last Updated Date | 2008-01-28 |
Provider Mailing Address Detail
| Address | 506 Holly Ave |
|---|---|
| City | Logan |
| State | (WV) |
| Post Code | 256013306 |
| Phone Number | 3047922075 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Speech-language Pathologist |
|---|---|
| Taxonomy | 235Z00000X |
| Licence No | 554485 |
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Definition: The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Spe |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 152371000 | WV | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Deborah Lynn Willis by the Centers for Medicare & Medicaid Services?
The Deborah Lynn Willis has been assigned the NPI (National Provider Identifier) 1467639856 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical address where Deborah Lynn Willis is geographically located?
The Deborah Lynn Willis is physically situated at the following location: 506 Holly Ave, Logan, WV, 256013306.
What is the Deborah Lynn Willis's specialty and taxonomy code?
The Deborah Lynn Willis's specialty is Speech-language Pathologist, and the corresponding taxonomy code is 235Z00000X.
On what date did the Deborah Lynn Willis receive the assignment of its 1467639856 from the Centers for Medicare & Medicaid Services?
The Deborah Lynn Willis was issued its 1467639856 by the Centers for Medicare & Medicaid Services on 2008-01-28.
As of what date were the details related to Deborah Lynn Willis most recently updated or revised?
The information pertaining to Deborah Lynn Willis, including its address, specialty, and other relevant details, was last updated or revised on 2008-01-28.