Provider Demographics
NPI:1053867556
Name:BIELEK, DEBRA LYNN (CCC-SLP)
Entity Type:Individual
Prefix:
First Name:DEBRA
Middle Name:LYNN
Last Name:BIELEK
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13300 E VIA LINDA
Mailing Address - Street 2:#1029
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85259-4344
Mailing Address - Country:US
Mailing Address - Phone:949-616-4573
Mailing Address - Fax:
Practice Address - Street 1:27101 PUERTA REAL
Practice Address - Street 2:SUITE 450
Practice Address - City:MISSION VIEJO
Practice Address - State:CA
Practice Address - Zip Code:92691-8518
Practice Address - Country:US
Practice Address - Phone:949-616-4573
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-08-25
Last Update Date:2016-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist