Individual provider Active NPI

Dezirae Edeburn

  • Speech-Language Pathologist
  • Pottstown, PA
National Provider Identifier
1225880800
Registry record updated Jul 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SL018324 Issued in PA
Practice address
352 Limerick Center Rd
Pottstown, PA 19464-3412
Phone
(267) 393-2326
NPI assigned
Apr 4, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SL018324 PA Primary

Addresses

Primary practice location

352 Limerick Center Rd
Pottstown, PA 19464-3412

Mailing address

1019 Egypt Rd
Phoenixville, PA 19460-1111

Other names 1

  • Dezirae Edeburn Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1712188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784678400000",
    "number": "1225880800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1019 EGYPT RD",
            "city": "PHOENIXVILLE",
            "state": "PA",
            "postal_code": "194601111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "352 LIMERICK CENTER RD",
            "city": "POTTSTOWN",
            "state": "PA",
            "postal_code": "194643412",
            "telephone_number": "267-393-2326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDEBURN",
        "first_name": "DEZIRAE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-04",
        "last_updated": "2026-07-22",
        "certification_date": "2026-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL018324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEZIRAE",
            "last_name": "EDEBURN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Pottstown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2026; 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.