Individual
DEBORAH JEAN HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC/SLP
Contact information
Practice address
515 W LINGLEVILLE RD, STEPHENVILLE, TX 76401-2211
(254) 965-3611
Mailing address
515 W LINGLEVILLE RD, STEPHENVILLE, TX 76401-2211
(254) 965-3611
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
11269
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
172242301
—
TX
Enumeration date
11/21/2019
Last updated
11/21/2019
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