Provider Demographics
NPI:1558560268
Name:STONER, DEBORAH L (SLP)
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:L
Last Name:STONER
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2855 JACKSON ST
Mailing Address - Street 2:
Mailing Address - City:PADUCAH
Mailing Address - State:KY
Mailing Address - Zip Code:42003-7602
Mailing Address - Country:US
Mailing Address - Phone:270-415-3618
Mailing Address - Fax:270-415-3601
Practice Address - Street 1:2855 JACKSON ST
Practice Address - Street 2:
Practice Address - City:PADUCAH
Practice Address - State:KY
Practice Address - Zip Code:42003-7602
Practice Address - Country:US
Practice Address - Phone:270-415-3618
Practice Address - Fax:270-415-3601
Is Sole Proprietor?:No
Enumeration Date:2007-07-12
Last Update Date:2007-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYKY-1378235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist