Provider Demographics
NPI:1841378999
Name:LOCKE, DEBORAH ANN (MA/CCC/SLP)
Entity Type:Individual
Prefix:MRS
First Name:DEBORAH
Middle Name:ANN
Last Name:LOCKE
Suffix:
Gender:F
Credentials:MA/CCC/SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:804 NEW ENGLAND CT
Mailing Address - Street 2:
Mailing Address - City:ALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:75002-2015
Mailing Address - Country:US
Mailing Address - Phone:972-816-1127
Mailing Address - Fax:972-722-7076
Practice Address - Street 1:1205 RIDGE RD
Practice Address - Street 2:SUITE A
Practice Address - City:ROCKWALL
Practice Address - State:TX
Practice Address - Zip Code:75087-4242
Practice Address - Country:US
Practice Address - Phone:972-722-7016
Practice Address - Fax:972-722-7976
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10559235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist