Deborah Ghan, MA, CCC-SLP

Key facts

NPI

1043721756

Entity type

Individual (NPI type 1)

Primary specialty

Speech-Language Pathologist 235Z00000X

License

241665 (CO)

Practice address

4773 County Road 214
Silt, CO 81652-9513

Phone

(970) 319-7644

NPI assigned

Oct 20, 2017

Sex

Female

Sole proprietor

Yes

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

Credentials

Master of Arts

State licenses

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 20, 2017.

{
    "created_epoch": "1508457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508457600000",
    "number": "1043721756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4773 COUNTY ROAD 214",
            "city": "SILT",
            "state": "CO",
            "postal_code": "816529513",
            "telephone_number": "970-319-7644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4773 COUNTY ROAD 214",
            "city": "SILT",
            "state": "CO",
            "postal_code": "816529513",
            "telephone_number": "970-319-7644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHAN",
        "first_name": "DEBORAH",
        "credential": "MA, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-20",
        "last_updated": "2017-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "CO",
            "license": "241665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Silt, CO · Speech-Language Pathologist in Colorado