Provider Demographics
NPI:1437386760
Name:COX, DEBRA L (BS,MS,MA,CCC/SLP)
Entity Type:Individual
Prefix:MS
First Name:DEBRA
Middle Name:L
Last Name:COX
Suffix:
Gender:F
Credentials:BS,MS,MA,CCC/SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1294 HERKIMER RD
Mailing Address - Street 2:
Mailing Address - City:UTICA
Mailing Address - State:NY
Mailing Address - Zip Code:13502-2709
Mailing Address - Country:US
Mailing Address - Phone:315-527-8122
Mailing Address - Fax:
Practice Address - Street 1:1294 HERKIMER RD
Practice Address - Street 2:
Practice Address - City:UTICA
Practice Address - State:NY
Practice Address - Zip Code:13502-2709
Practice Address - Country:US
Practice Address - Phone:315-527-8122
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-13
Last Update Date:2009-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY007101235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01103434OtherAMERICAN SPEECH/HEARING ASSOCIATION ASHA