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NPI Code Detail

MEDICARE: MRS. DEBRA LEE MCPHERSON CCC-SLP

MEDICARE: MRS. DEBRA LEE MCPHERSON 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 PathologistSA3900FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1962627018
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. DEBRA LEE MCPHERSON CCC-SLP
Provider Business Mailing Address
First Line : 420 SHERIDAN AVE
Second Line :
City : SATELLITE BEACH
State : FL
Zip : 32937-3048
Country : US
Telephone Number : 321-773-4471
Fax Number :
Provider Business Practice Location Address
First Line : 2040 HIGHWAY A1A STE 203
Second Line :
City : INDIAN HARBOUR BEACH
State : FL
Zip : 32937-3566
Country : US
Telephone Number : 321-773-8989
Fax Number : 321-773-8990
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/16/2007
Last Update Date : 04/27/2019

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Directions to “ MRS. DEBRA LEE MCPHERSON CCC-SLP” Practice Location

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