Basic Information
Provider Information
NPI: 1770891228
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: WESTMORELAND
FirstName: DEBORAH
MiddleName: EILEEN
NamePrefix: MRS.
NameSuffix:  
Credential: M.S.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2931 E MINTON ST
Address2:  
City: MESA
State: AZ
PostalCode: 852131696
CountryCode: US
TelephoneNumber: 4805102029
FaxNumber:  
Practice Location
Address1: 5314 RIVER RUN DR STE 140
Address2:  
City: PROVO
State: UT
PostalCode: 846047706
CountryCode: US
TelephoneNumber: 8014940482
FaxNumber: 8014264953
Other Information
ProviderEnumerationDate: 09/17/2010
LastUpdateDate: 02/10/2014
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
235Z00000XSLP0601AZY Speech, Language and Hearing Service ProvidersSpeech-Language Pathologist 

No ID Information.


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