Deborah Jean Lee

Individual provider Active NPI Speech-Language Pathologist · Voorheesville, NY

NPI 1467748848 · NPPES record last updated Jun 23, 2011

Key facts

NPI
1467748848
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
006171-1 (NY)
Practice address
129 Maple Ave
Voorheesville, NY 12186-9726
Phone
(518) 765-2382
NPI assigned
Jun 23, 2011
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
006171-1NYMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Voorheesville Central School District Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 006171-1 NY Yes

Addresses

Primary practice location

129 Maple Ave
Voorheesville, NY 12186-9726

Mailing address

129 Maple Ave
Voorheesville, NY 12186-9726
Phone (518) 765-2382

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 23, 2011.

{
    "created_epoch": "1308787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308787200000",
    "number": "1467748848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 MAPLE AVE",
            "city": "VOORHEESVILLE",
            "state": "NY",
            "postal_code": "121869726",
            "telephone_number": "518-765-2382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 MAPLE AVE",
            "city": "VOORHEESVILLE",
            "state": "NY",
            "postal_code": "121869726",
            "telephone_number": "518-765-2382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "DEBORAH",
        "middle_name": "JEAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-23",
        "last_updated": "2011-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "006171-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Voorheesville, NY

All providers in Voorheesville, NY · Speech-Language Pathologist in New York

Sources for this page

Verify at the official NPI Registry.