Individual
DEBRA SELF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
2203 BABCOCK RD, SAN ANTONIO, TX 78229-4412
(210) 614-3911
(210) 616-0443
Mailing address
2203 BABCOCK RD, SAN ANTONIO, TX 78229-4412
(210) 614-3911
(210) 616-0443
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
16988
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004864701
—
TX
Enumeration date
10/18/2006
Last updated
01/21/2011
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