Donnell Lee Devillier, M.S. CCC-SLP

Individual provider Active NPI Speech-Language Pathologist · Silsbee, TX

NPI 1043793409 · NPPES record last updated Sep 12, 2018

Key facts

NPI
1043793409
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
109113 (TX)
Practice address
705 Highway 418 W
Silsbee, TX 77656-3635
Phone
(409) 782-9415
NPI assigned
Sep 12, 2018
Sex
Female
Sole proprietor
No

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 Science

State licenses

LicenseStateTypeSpecialty
109113TXMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 109113 TX Yes

Addresses

Primary practice location

705 Highway 418 W
Silsbee, TX 77656-3635

Mailing address

PO Box 694
Nome, TX 77629-0694
Phone (409) 782-9415

Other providers in Silsbee, TX

All providers in Silsbee, TX · Speech-Language Pathologist in Texas

Sources for this page

Verify at the official NPI Registry.