Provider Demographics
NPI:1235430562
Name:OAKES, DEBORAH (MS, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:
Last Name:OAKES
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:TASHA
Other - Middle Name:
Other - Last Name:OAKES
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MS, CCC-SLP
Mailing Address - Street 1:2300 TRUXTUN AVE
Mailing Address - Street 2:STE. 100
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93301-3542
Mailing Address - Country:US
Mailing Address - Phone:661-323-4591
Mailing Address - Fax:661-323-8603
Practice Address - Street 1:2300 TRUXTUN AVE
Practice Address - Street 2:STE. 100
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93301-3542
Practice Address - Country:US
Practice Address - Phone:661-323-4591
Practice Address - Fax:661-323-8603
Is Sole Proprietor?:No
Enumeration Date:2010-11-03
Last Update Date:2010-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA4164235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist