Provider Demographics
NPI:1740571025
Name:WITKOWSKI, DEBORAH LYNN (MA, CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:DEBORAH
Middle Name:LYNN
Last Name:WITKOWSKI
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Gender:F
Credentials:MA, CCC-SLP
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Mailing Address - Street 1:118 RIDGEVIEW DR
Mailing Address - Street 2:
Mailing Address - City:VENETIA
Mailing Address - State:PA
Mailing Address - Zip Code:15367-1223
Mailing Address - Country:US
Mailing Address - Phone:724-941-3401
Mailing Address - Fax:724-941-3401
Practice Address - Street 1:1401 FORBES AVE
Practice Address - Street 2:SUITE 206
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15219-5125
Practice Address - Country:US
Practice Address - Phone:412-402-0900
Practice Address - Fax:412-402-0900
Is Sole Proprietor?:No
Enumeration Date:2011-04-21
Last Update Date:2011-04-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PASL009864235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist