Provider Demographics
NPI:1154639581
Name:BRAMSON, DEBRA L (SLP)
Entity Type:Individual
Prefix:
First Name:DEBRA
Middle Name:L
Last Name:BRAMSON
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:DEBRA
Other - Middle Name:
Other - Last Name:BOOS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:28 HARDING AVE
Mailing Address - Street 2:
Mailing Address - City:LOCKPORT
Mailing Address - State:NY
Mailing Address - Zip Code:14094-6021
Mailing Address - Country:US
Mailing Address - Phone:716-870-6218
Mailing Address - Fax:
Practice Address - Street 1:28 HARDING AVE
Practice Address - Street 2:
Practice Address - City:LOCKPORT
Practice Address - State:NY
Practice Address - Zip Code:14094-6021
Practice Address - Country:US
Practice Address - Phone:716-478-4441
Practice Address - Fax:716-478-6857
Is Sole Proprietor?:No
Enumeration Date:2010-09-20
Last Update Date:2019-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY005860-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist