Provider Demographics
NPI:1396381430
Name:PARKINS, DEBORAH ANNE (MS/SLP)
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:ANNE
Last Name:PARKINS
Suffix:
Gender:F
Credentials:MS/SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6462 MIRASIERRA LN
Mailing Address - Street 2:
Mailing Address - City:MOUNT CRAWFORD
Mailing Address - State:VA
Mailing Address - Zip Code:22841-2412
Mailing Address - Country:US
Mailing Address - Phone:540-421-0107
Mailing Address - Fax:
Practice Address - Street 1:100 RED OAKS DR STE 103
Practice Address - Street 2:
Practice Address - City:STAUNTON
Practice Address - State:VA
Practice Address - Zip Code:24401-9158
Practice Address - Country:US
Practice Address - Phone:540-885-7774
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-11-25
Last Update Date:2019-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2202007679235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist