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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