Deborah Kyler Lamb, SA

Individual provider Active NPI Speech-Language Pathologist · Williston, FL

NPI 1467590976 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1467590976
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
SA745 (FL)
Practice address
506 SW 5TH Ter
Williston, FL 32696-2548
Phone
(352) 529-0012
Fax
(352) 529-0014
NPI assigned
Feb 5, 2007
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)
Yes

State licenses

LicenseStateTypeSpecialty
SA745FLMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SA745 FL Yes

Addresses

Primary practice location

506 SW 5TH Ter
Williston, FL 32696-2548

Mailing address

2651 NE 200TH Ave
Williston, FL 32696-7250
Phone (352) 529-0012

Other providers in Williston, FL

All providers in Williston, FL · Speech-Language Pathologist in Florida

Sources for this page

Verify at the official NPI Registry.