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NPI Code Detail

MEDICARE: MRS. DEBORAH ANN LOCKE MA/CCC/SLP

MEDICARE:  MRS. DEBORAH ANN LOCKE  MA/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
1235Z00000XSpeech-Language Pathologist10559TX

General Provider Information

NPI Number : 1841378999
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. DEBORAH ANN LOCKE MA/CCC/SLP
Provider Business Mailing Address
First Line : 804 NEW ENGLAND CT
Second Line :
City : ALLEN
State : TX
Zip : 75002-2015
Country : US
Telephone Number : 972-816-1127
Fax Number : 972-722-7076
Provider Business Practice Location Address
First Line : 1205 RIDGE RD
Second Line : SUITE A
City : ROCKWALL
State : TX
Zip : 75087-4242
Country : US
Telephone Number : 972-722-7016
Fax Number : 972-722-7976
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/02/2006
Last Update Date : 07/08/2007

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Directions to “ MRS. DEBORAH ANN LOCKE MA/CCC/SLP” Practice Location

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