MEDICARE: MRS. DEBORAH EILEEN WESTMORELAND M.S.

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	SLP0601	AZ

General Provider Information

NPI Number	:	1770891228
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. DEBORAH EILEEN WESTMORELAND M.S.

Provider Business Mailing Address
First Line	:	2931 E MINTON ST
Second Line	:
City	:	MESA
State	:	AZ
Zip	:	85213-1696
Country	:	US
Telephone Number	:	480-510-2029
Fax Number	:

Provider Business Practice Location Address
First Line	:	5314 RIVER RUN DR STE 140
Second Line	:
City	:	PROVO
State	:	UT
Zip	:	84604-7706
Country	:	US
Telephone Number	:	801-494-0482
Fax Number	:	801-426-4953

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

Provider Enumeration Date	:	09/17/2010
Last Update Date	:	02/10/2014

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