Healthcare Provider Details

I. General information

NPI: 1043566037
Provider Name (Legal Business Name): DEBORAH ANN RALSTON M.S.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/27/2012
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2350 NE HOPKINS CT
PULLMAN WA
99163-5600
US

IV. Provider business mailing address

212 W IRONWOOD DR STE D
COEUR D ALENE ID
83814-1403
US

V. Phone/Fax

Practice location:
  • Phone: 509-334-8094
  • Fax: 509-334-8094
Mailing address:
  • Phone: 208-215-4071
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberTSLP-2266
License Number StateID
# 2
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberLL60963045
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: