Ibrahim, Debbie Susan

Ibrahim, Debbie Susan is an individual health care provider with primary practice located at 1315 Walnut St , Texarkana TX 75501-4446. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Ibrahim, Debbie Susan can be contacted via phone (903) 794-2705.

Contact Information

Primary practice address
1315 Walnut St Texarkana TX 75501-4446
Phone: (903) 794-2705
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SP#921 Arkansas
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 16598 Texas
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 01103843

Profile Details

NPI number 1346311750
LBN Legal business name Ibrahim, Debbie Susan
Credentials MS,CCC-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 10th, 2006
Last updated Jul 9th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346311750 NPPES
Arkansas Other 82608 ARBCBS
Arkansas Other 8T1288 ARBCBS

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