Provider Demographics
NPI:1780679142
Name:BIGGERT, DEBORAH (MA, CCC-A)
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:
Last Name:BIGGERT
Suffix:
Gender:F
Credentials:MA, CCC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:303 S CHURCH ST
Mailing Address - Street 2:#3
Mailing Address - City:HENDERSONVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28792-5211
Mailing Address - Country:US
Mailing Address - Phone:828-692-0353
Mailing Address - Fax:
Practice Address - Street 1:303 S CHURCH ST
Practice Address - Street 2:#3
Practice Address - City:HENDERSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28792-5211
Practice Address - Country:US
Practice Address - Phone:828-692-0353
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-09-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2782231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC12421OtherBLUECROSS BLUESHIELD
NC7411587Medicaid
NC7400005Medicaid
NC2520963Medicare ID - Type UnspecifiedCIGNA-TN