Provider Demographics
NPI:1508968900
Name:JAMES, DEBORAH C (MCD CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:DEBORAH
Middle Name:C
Last Name:JAMES
Suffix:
Gender:F
Credentials:MCD CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:34 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:HAMLET
Mailing Address - State:NC
Mailing Address - Zip Code:28345-3636
Mailing Address - Country:US
Mailing Address - Phone:910-690-6353
Mailing Address - Fax:
Practice Address - Street 1:34 W MAIN ST
Practice Address - Street 2:
Practice Address - City:HAMLET
Practice Address - State:NC
Practice Address - Zip Code:28345-3636
Practice Address - Country:US
Practice Address - Phone:910-995-2194
Practice Address - Fax:855-399-8332
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-05
Last Update Date:2023-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC3185235Z00000X
NC5242235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7412175Medicaid
NC2419026OtherMEDICARE PTAN
NC137NVOtherBCBS
SCSA0888Medicaid