Debra Addy, MA, CCC-SLP

Individual provider Active NPI Speech-Language Pathologist · Savannah, GA

NPI 1124486501 · NPPES record last updated Feb 1, 2016

Key facts

NPI
1124486501
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
SLP005223 (GA)
Practice address
6711 Laroche Ave
Riverview Health and Rehabilitation
Savannah, GA 31406
Phone
(912) 354-8225
Fax
(912) 790-3238
NPI assigned
Feb 1, 2016
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

LicenseStateTypeSpecialty
SLP005223GAMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SLP005223 GA Yes

Addresses

Primary practice location

6711 Laroche Ave
Riverview Health and Rehabilitation
Savannah, GA 31406

Mailing address

215 E 51St St
Savannah, GA 31405-2239
Phone (912) 232-2213

Other providers in Savannah, GA

All providers in Savannah, GA · Speech-Language Pathologist in Georgia

Sources for this page

Verify at the official NPI Registry.