Individual
DONNELL LEE DEVILLIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
705 HIGHWAY 418 W, SILSBEE, TX 77656-3635
(409) 782-9415
Mailing address
PO BOX 694, NOME, TX 77629-0694
(409) 782-9415
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
109113
TX
Other
Enumeration date
09/12/2018
Last updated
09/12/2018
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