Provider Demographics
NPI:1417096710
Name:ARTHUR, DEBRA D
Entity Type:Individual
Prefix:MRS
First Name:DEBRA
Middle Name:D
Last Name:ARTHUR
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:DEBRA
Other - Middle Name:A
Other - Last Name:DUTKA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA CCC SLP
Mailing Address - Street 1:200 FOX LANE
Mailing Address - Street 2:
Mailing Address - City:CHAGRIN FALLS
Mailing Address - State:OH
Mailing Address - Zip Code:44022
Mailing Address - Country:US
Mailing Address - Phone:440-338-3816
Mailing Address - Fax:440-338-3816
Practice Address - Street 1:7160 CHAGRIN ROAD
Practice Address - Street 2:SUITE 125
Practice Address - City:BAINBRIDGE
Practice Address - State:OH
Practice Address - Zip Code:44023
Practice Address - Country:US
Practice Address - Phone:440-247-5991
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHSP2509235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist