Layne Jeffrey Debardelaben in Lufkin - Speech-language Pathologist

Layne Jeffrey Debardelaben - NPI 1396816575

Layne Jeffrey Debardelaben is a Speech-language Pathologist in Lufkin, Texas. Layne Jeffrey Debardelaben practices all healthcare services and medical treatments related to Speech-language Pathologist. The NPI Number for Layne Jeffrey Debardelaben is 1396816575. The last update date is 2007-07-09.

Layne Jeffrey Debardelaben's current location address is 4101 S Medford Dr, Lufkin, Texas. You can contact this provider via phone number 9366391141 and fax number 9366335695. The mailing address for Layne Jeffrey Debardelaben is 4101 S Medford Dr, Lufkin, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name Layne Jeffrey Debardelaben
Address 4101 S Medford Dr, Lufkin, Texas
Phone Number 9366391141
Fax Number 9366335695
Sole Proprietor N
Credentials SP

NPI Number Detail

NPI Number 1396816575
Provider Enumeration Date 2006-11-10
Last Updated Date 2007-07-09

Provider Mailing Address Detail

Address 4101 S Medford Dr
City Lufkin
State Texas (TX)
Post Code 759015633
Phone Number 9366391141
Fax Number 9366335695

Provider's Primary Taxonomy Detail

Speciality Speech-language Pathologist
Taxonomy 235Z00000X
Licence No 16797
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
82603T TX BLUE CROSS BLUE SHIELD

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FAQs about Layne Jeffrey Debardelaben

What is the unique 10-digit identifier code assigned to Layne Jeffrey Debardelaben by the Centers for Medicare & Medicaid Services?

The Layne Jeffrey Debardelaben has been issued the NPI (National Provider Identifier) 1396816575 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Can you provide the Layne Jeffrey Debardelaben's physical address?

The Layne Jeffrey Debardelaben is physically located at 4101 S Medford Dr, in the city of Lufkin, TX, with the postal code 759015633.

What is Layne Jeffrey Debardelaben's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Layne Jeffrey Debardelaben's specialized field of practice is Speech-language Pathologist, and the corresponding taxonomy code that categorizes this area of specialization is 235Z00000X.

On what date was the 1396816575 assigned to Layne Jeffrey Debardelaben?

The Layne Jeffrey Debardelaben was issued its 1396816575 on 2006-11-10, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details related to Layne Jeffrey Debardelaben most recently updated or revised?

The information pertaining to Layne Jeffrey Debardelaben, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-09.

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