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NPI Code Detail

MEDICARE: DEBORAH M FREEDMAN CCC-SLP

MEDICARE:   DEBORAH M FREEDMAN  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 Pathologist1274FL

Other Identifiers

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

General Provider Information

NPI Number : 1922489400
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEBORAH M FREEDMAN CCC-SLP
Provider Business Mailing Address
First Line : 1213 SPRING CIRCLE DR
Second Line :
City : CORAL SPRINGS
State : FL
Zip : 33071-6625
Country : US
Telephone Number : 954-242-7638
Fax Number :
Provider Business Practice Location Address
First Line : 1213 SPRING CIRCLE DR
Second Line :
City : CORAL SPRINGS
State : FL
Zip : 33071-6625
Country : US
Telephone Number : 954-242-7638
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/10/2015
Last Update Date : 03/25/2020

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Directions to “ DEBORAH M FREEDMAN CCC-SLP” Practice Location

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