Provider Demographics
NPI:1639485097
Name:HUFF, DEBRA S (SLP)
Entity Type:Individual
Prefix:MRS
First Name:DEBRA
Middle Name:S
Last Name:HUFF
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 1:736 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:BOONVILLE
Mailing Address - State:MO
Mailing Address - Zip Code:65233-1656
Mailing Address - Country:US
Mailing Address - Phone:660-882-7474
Mailing Address - Fax:660-882-5721
Practice Address - Street 1:736 MAIN ST
Practice Address - Street 2:
Practice Address - City:BOONVILLE
Practice Address - State:MO
Practice Address - Zip Code:65233-1656
Practice Address - Country:US
Practice Address - Phone:660-882-7474
Practice Address - Fax:660-882-5721
Is Sole Proprietor?:No
Enumeration Date:2010-08-24
Last Update Date:2010-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO01515235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist