Provider Demographics
NPI:1356445811
Name:MAGERS, DEBORAH DECKER (MS, CCC/SLP)
Entity Type:Individual
Prefix:MRS
First Name:DEBORAH
Middle Name:DECKER
Last Name:MAGERS
Suffix:
Gender:F
Credentials:MS, CCC/SLP
Other - Prefix:
Other - First Name:DEBORAH
Other - Middle Name:JEAN
Other - Last Name:DECKER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, CCC/SLP
Mailing Address - Street 1:4810 W GANDY BLVD
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33611-3003
Mailing Address - Country:US
Mailing Address - Phone:813-380-8230
Mailing Address - Fax:813-991-9504
Practice Address - Street 1:4810 W GANDY BLVD
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33611-3003
Practice Address - Country:US
Practice Address - Phone:813-380-8230
Practice Address - Fax:813-991-9504
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-12
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSA7810235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLS2910OtherBC/BS OF FLORIDA #