Provider Demographics
NPI:1851624811
Name:MURPHY, DEBORAH ELAINE (MSED, CCC/SLP)
Entity Type:Individual
Prefix:MRS
First Name:DEBORAH
Middle Name:ELAINE
Last Name:MURPHY
Suffix:
Gender:F
Credentials:MSED, CCC/SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6288 EVERGREEN RD
Mailing Address - Street 2:
Mailing Address - City:CAMILLA
Mailing Address - State:GA
Mailing Address - Zip Code:31730-3841
Mailing Address - Country:US
Mailing Address - Phone:229-328-7150
Mailing Address - Fax:229-336-1229
Practice Address - Street 1:6288 EVERGREEN RD
Practice Address - Street 2:
Practice Address - City:CAMILLA
Practice Address - State:GA
Practice Address - Zip Code:31730-3841
Practice Address - Country:US
Practice Address - Phone:229-328-7150
Practice Address - Fax:229-336-1229
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-09
Last Update Date:2009-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GASLP001832235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist