Willis, Deborah Lynn
Willis, Deborah Lynn is an sole proprietor health care provider with primary practice located at 506 Holly Ave , Logan WV 25601-3306. 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. Willis, Deborah Lynn can be contacted via phone (304) 792-2075.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 00554485 | West Virginia |
Profile Details
| NPI number | 1467639856 |
|---|---|
| LBN Legal business name | Willis, Deborah Lynn |
| Credentials | MA CCC SLP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 28th, 2008 |
| Last updated | Jan 28th, 2008 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1467639856 | NPPES |
| West Virginia | MEDICAID | 0152371000 |
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