MEDICARE: MS. LINDSEY C DEBOW MS-CCC/SLP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	SA 8325	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1588805592
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. LINDSEY C DEBOW MS-CCC/SLP

Provider Business Mailing Address
First Line	:	1946 SHERBOURNE ST
Second Line	:
City	:	WINTER GARDEN
State	:	FL
Zip	:	34787-4603
Country	:	US
Telephone Number	:	321-437-3393
Fax Number	:	321-437-3393

Provider Business Practice Location Address
First Line	:	14055 TOWN LOOP BLVD
Second Line	:	SUITE 300
City	:	ORLANDO
State	:	FL
Zip	:	32837-6105
Country	:	US
Telephone Number	:	407-857-6285
Fax Number	:	407-857-9566

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/20/2009
Last Update Date	:	02/06/2017

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