Provider Demographics
NPI:1851427918
Name:SAULTERS, DEBORAH ANN (MA CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:DEBORAH
Middle Name:ANN
Last Name:SAULTERS
Suffix:
Gender:F
Credentials:MA CCC-SLP
Other - Prefix:MRS
Other - First Name:DEBORAH
Other - Middle Name:ANN
Other - Last Name:STRUM SAULTERS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MACCC-SLP
Mailing Address - Street 1:1392 WATERSIDE DR
Mailing Address - Street 2:
Mailing Address - City:BOLINGBROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60490-5436
Mailing Address - Country:US
Mailing Address - Phone:630-759-7675
Mailing Address - Fax:630-759-7675
Practice Address - Street 1:1392 WATERSIDE DR
Practice Address - Street 2:
Practice Address - City:BOLINGBROOK
Practice Address - State:IL
Practice Address - Zip Code:60490-5436
Practice Address - Country:US
Practice Address - Phone:630-759-7675
Practice Address - Fax:630-759-7675
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist