Provider Demographics
NPI:1518146562
Name:FOX HELSER, DEBRA ESTELLE (MACCC SLP)
Entity Type:Individual
Prefix:MRS
First Name:DEBRA
Middle Name:ESTELLE
Last Name:FOX HELSER
Suffix:
Gender:F
Credentials:MACCC SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1188
Mailing Address - Street 2:
Mailing Address - City:GLEN ALPINE
Mailing Address - State:NC
Mailing Address - Zip Code:28628
Mailing Address - Country:US
Mailing Address - Phone:828-443-3039
Mailing Address - Fax:828-584-3196
Practice Address - Street 1:2096 LAIL ROAD
Practice Address - Street 2:
Practice Address - City:MORGANTON
Practice Address - State:NC
Practice Address - Zip Code:28655
Practice Address - Country:US
Practice Address - Phone:828-443-3039
Practice Address - Fax:828-584-3196
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-26
Last Update Date:2007-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC624235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC73446Medicaid