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Organization
THE SPEECH AND LANGUAGE DEVELOPMENT CENTER
Active
Organization
THE SPEECH AND LANGUAGE DEVELOPMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBORAH MODE MS, CCC SLP (SPEECH AND LANGUAGE PATHOLOGIST)
(469) 320-1700
Entity
Organization
Contact information
Practice address
8405 STERLING ST STE 203, IRVING, TX 75063-1904
(469) 320-1700
(469) 320-1732
Mailing address
80 CONGRESS ST, SUITE 106, SPRINGFIELD, MA 01104-3427
(413) 732-0777
(413) 732-0007
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
—
MA
261QH0700X
Hearing and Speech Clinic/Center
Primary
7047
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0714224
—
MA
01
—
42703
HEALTH NEW ENGLAND
MA
01
—
732022
CONNECTICARE
CT
01
—
SP0231
BLUE CROSS BLUE SHIELD
MA
Enumeration date
07/10/2008
Last updated
10/24/2020
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