Deborah Leah Self, M.S.,C.C.C.

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

264 Issued in OK

Practice address

601 W McArthur St
Madill, OK 73446-2846

Phone

(580) 795-3680

NPI assigned

Oct 30, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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

{
    "created_epoch": "1414627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414627200000",
    "number": "1952706160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1108 W LILLIE BLVD",
            "city": "MADILL",
            "state": "OK",
            "postal_code": "734462046",
            "telephone_number": "580-263-0154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 W MCARTHUR ST",
            "city": "MADILL",
            "state": "OK",
            "postal_code": "734462846",
            "telephone_number": "580-795-3680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELF",
        "first_name": "DEBORAH",
        "middle_name": "LEAH",
        "credential": "M.S.,C.C.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-30",
        "last_updated": "2014-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OK",
            "license": "264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Rodriguez, PHARM D
• Bryan Rowley
• Tanya Royal
• SCG Madill Brookside LLC (Brookside Nursing Center)
• Brandy N Schultz
• Heather Michelle Shores
• Sharon Shumaker Smith
• Southeastern Oklahoma Family Services, Inc.
• Southern Oklahoma Treatment Services, Inc.
• Crystal Spencer, LPC

• Speech-Language Pathologist in Madill, OK
• Providers in Madill, OK by specialty
• Speech-Language Pathologist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2014; 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.