Provider Demographics
NPI:1184954620
Name:DEE, DEVON LYNNTRICE (MA, CCC-SLP)
Entity type:Individual
Prefix:MS
First Name:DEVON
Middle Name:LYNNTRICE
Last Name:DEE
Suffix:
Gender:F
Credentials:MA, CCC-SLP
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Mailing Address - Street 1:2024 GEORGIA AVE NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20001-3027
Mailing Address - Country:US
Mailing Address - Phone:202-865-6679
Mailing Address - Fax:202-865-3261
Practice Address - Street 1:525 BRYANT ST NW
Practice Address - Street 2:ROOM 139Y
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20059-1005
Practice Address - Country:US
Practice Address - Phone:202-806-6991
Practice Address - Fax:202-387-1327
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-06
Last Update Date:2014-05-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MD05706235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist