Debra Lever
Individual provider Active NPI Speech-Language Pathologist · Imperial, MO
NPI 1356816367 · NPPES record last updated Oct 5, 2018
Key facts
- NPI
- 1356816367
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 220112 (MO)
- Practice address
- 6208 US Highway 61 67
Imperial, MO 63052-2311 - Phone
- (636) 464-4400
- NPI assigned
- Oct 5, 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 220112 | MO | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 220112 | MO | Yes |
Addresses
Primary practice location
6208 US Highway 61 67
Imperial, MO 63052-2311
Mailing address
14 Concord LN
Saint Louis, MO 63128-1201
Other providers in Imperial, MO
- Junction Bracing & PT
- Olivia Dawn Kernebeck
- Courtney Jean Krake
- Jodee Lamp
- Daniel Christopher Leach
- Emily Mack
- Bailey Macke
- Jennifer Lea McKenzie
- Madalyn Michael
- Kaitlyn Marie Monaco
All providers in Imperial, MO · Speech-Language Pathologist in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 5, 2018. 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.