Provider Demographics
NPI:1194840710
Name:LOWERY, DEBORAH (MS CCC-A)
Entity Type:Individual
Prefix:MRS
First Name:DEBORAH
Middle Name:
Last Name:LOWERY
Suffix:
Gender:F
Credentials:MS CCC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:311 ASHWORTH DR
Mailing Address - Street 2:
Mailing Address - City:GOLDSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27530-5564
Mailing Address - Country:US
Mailing Address - Phone:919-731-3091
Mailing Address - Fax:
Practice Address - Street 1:1800 BATTLEGROUND AVE
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27408-7104
Practice Address - Country:US
Practice Address - Phone:336-373-9600
Practice Address - Fax:336-373-9676
Is Sole Proprietor?:No
Enumeration Date:2007-03-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC885231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist