Provider Demographics
NPI:1114172772
Name:CHITESTER, DEBORAH JILL (MS CCC SLP)
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:JILL
Last Name:CHITESTER
Suffix:
Gender:F
Credentials:MS CCC SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:107 NEWMAN CT
Mailing Address - Street 2:
Mailing Address - City:PENNINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08534-5198
Mailing Address - Country:US
Mailing Address - Phone:732-642-5118
Mailing Address - Fax:
Practice Address - Street 1:107 NEWMAN CT
Practice Address - Street 2:
Practice Address - City:PENNINGTON
Practice Address - State:NJ
Practice Address - Zip Code:08534-5198
Practice Address - Country:US
Practice Address - Phone:732-642-5118
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-11-24
Last Update Date:2008-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ41YS00460500235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist