Deborah Mary Vanderhoff, MS CCC SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

010284-1 Issued in NY

Practice address

10347 Van Buren Bay Rd
Dunkirk, NY 14048-9651

Phone

(716) 679-5637

NPI assigned

May 30, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Deborah Mary Revenew Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1180483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043411606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10347 VAN BUREN BAY RD",
            "city": "DUNKIRK",
            "state": "NY",
            "postal_code": "140489651",
            "telephone_number": "716-679-5637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10347 VAN BUREN BAY RD",
            "city": "DUNKIRK",
            "state": "NY",
            "postal_code": "140489651",
            "telephone_number": "716-679-5637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDERHOFF",
        "first_name": "DEBORAH",
        "middle_name": "MARY",
        "credential": "MS CCC SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "010284-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBORAH",
            "last_name": "REVENEW",
            "middle_name": "MARY",
            "credential": "MS CCC SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Nickolas Charles Trogdon, FNP
• Jamie Ullmark, CRNA
• James R Urgo, NURSE PRACTITIONER
• Jeanna M Valentine, LPN
• Renee Nicole Valla
• Richard Vasquez, PT, DPT
• Katherine K Vincent
• Janice Vogt
• Vienna Volpe
• Judith Wach, PT

• Speech-Language Pathologist in Dunkirk, NY
• Providers in Dunkirk, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.