Provider Demographics
NPI:1144565409
Name:MACDONALD, DEBORAH CRABBS (MS, CCC)
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:CRABBS
Last Name:MACDONALD
Suffix:
Gender:F
Credentials:MS, CCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1021 HANCOCK RD
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSTOWN
Mailing Address - State:MA
Mailing Address - Zip Code:01267-3021
Mailing Address - Country:US
Mailing Address - Phone:413-458-0151
Mailing Address - Fax:
Practice Address - Street 1:2325 HANCOCK RD
Practice Address - Street 2:
Practice Address - City:WILLIAMSTOWN
Practice Address - State:MA
Practice Address - Zip Code:01267-9727
Practice Address - Country:US
Practice Address - Phone:413-884-4836
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-11-27
Last Update Date:2012-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA4320235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist