Debra Jean Doeksen-Gould, MA CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Newcastle, WY
NPI 1245587732 · NPPES record last updated Aug 14, 2012
Key facts
- NPI
- 1245587732
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 269 (WY)
- Practice address
- 104 Stampede St
Newcastle, WY 82701-3037 - Phone
- (307) 745-4560
- NPI assigned
- Aug 14, 2012
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 269 | WY | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 269 | WY | Yes |
Addresses
Primary practice location
104 Stampede St
Newcastle, WY 82701-3037
Mailing address
104 Stampede
Weston County Children'S Center
Newcastle, WY 82701-3037
Phone (307) 745-4560
Other providers in Newcastle, WY
- Tina Chick
- Michael Dean Cookston
- County of Weston
- Nathina Crabtree
- Loretta Deyo
- Roxanna M Dye
- Abi Jo Dysart
- Kiana Marie Ehlers
- Travis Elliott
- Erickson Family Dental
All providers in Newcastle, WY · Speech-Language Pathologist in Wyoming
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 14, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.