Aseedaw Deal, M.S., CCC, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

106022 Issued in TX

Practice address

1812 Welsh Ave
College Station, TX 77840-4800

Phone

(979) 764-5400

NPI assigned

Oct 30, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Southern Illinois University Carbondale Clinical Center

  • Psychologist
  • Carbondale, IL
  • NPI 1174919351

  Speech-Language Pathologist

  NPD (past)

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

{
    "created_epoch": "1446163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666828800000",
    "number": "1871965707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1812 WELSH AVE",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778404800",
            "telephone_number": "979-764-5400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1812 WELSH AVE",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778404800",
            "telephone_number": "979-764-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEAL",
        "first_name": "ASEEDAW",
        "credential": "M.S., CCC, SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-30",
        "last_updated": "2022-10-27",
        "certification_date": "2022-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146012251",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "106022",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS DEPARTMENT OF LICENSING AND REGULATION",
            "identifier": "106022",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF ILLINOIS DEPT. OF FINANCIAL AND PROFESSIONAL REGULATION",
            "identifier": "146012251",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thomas William Davis Jr., M.D.
• Katelyn Renee Day
• DC Health Center, L.L.P
• Nicerio Razon De Leon, DC, APRN, NP-C
• Mario Jesus De Los Santos III, M.D.
• Deanna Johnston LPC PLLC
• Zachary Debaugh
• Kimberly Marie Debona, AU.D.
• Claudia Larea Debusk, APRN
• Danielle Francis Decha, PT, DPT

• Speech-Language Pathologist in College Station, TX
• Providers in College Station, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2022; 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.