Active NPIIndividual provider

Debora J Patrick, MA CCC-SLP

Speech-Language Pathologist, in Agawam, Massachusetts

NPI Number1750407722
Practice location
61 Cooper St, Agawam, MA 01001-2149
Fax
413-789-2359
Last updated
July 8, 2007

Debora Jean Patrick is a Speech-Language Pathologist, based in Agawam, MA. Debora Jean Patrick practices in Agawam, MA and has the professional credentials of MA CCC-SLP. The NPI Number for Debora Jean Patrick is 1750407722 and holds a License No. 4794 (MA). The current practice location address for Debora Jean Patrick is 61 Cooper St, Agawam, MA 01001-2149 and can be reached out via phone at 413-786-8000 and via fax at 413-789-2359.

Provider Profile Details

NPI Number
1750407722
Provider Name
Debora Jean Patrick
Credential
MA CCC-SLP
Provider Entity Type
Individual
Gender
Female
Address
61 Cooper St, Agawam, MA 01001-2149
Phone Number
413-786-8000
Fax Number
413-789-2359
Primary Taxonomy
Speech-Language Pathologist, · 235Z00000X
Sole Proprietor
No
Provider Enumeration Date
March 22, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
61 Cooper St
Agawam, MA 01001-2149
City
Agawam
Zip
01001-2149
Phone Number
413-786-8000
Fax Number
413-789-2359
Agawam, MA 01001Get directions →

Provider Business Mailing Address Details

Address
3 Lynch Pl
South Hadley, MA 01075-2305
City
South Hadley
State
MA
Zip
01075-2305
Phone Number
413-536-0459

License Information

License Number (1)
4794
License State (1)
MA
Taxonomy (1)
Speech-Language Pathologist, · 235Z00000X · Primary
License Number (2)
003272
License State (2)
CT
Taxonomy (2)
Speech-Language Pathologist, · 235Z00000X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Debora J Patrick, MA CCC-SLP?

The NPI number of Debora J Patrick, MA CCC-SLP is 1750407722. It was assigned on March 22, 2007 and is currently active in the NPPES registry.

What is the specialty of Debora J Patrick, MA CCC-SLP?

Debora J Patrick, MA CCC-SLP is registered under the primary taxonomy Speech-Language Pathologist, (code 235Z00000X), licensed in MA under license number 4794.

Where does Debora J Patrick, MA CCC-SLP practice?

The practice location is 61 Cooper St, Agawam, MA 01001-2149. The office can be reached at 413-786-8000 (phone) or 413-789-2359 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1750407722 directly on the NPPES registry website.

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