Provider Demographics
NPI:1245510429
Name:STONE, DEBRA S (MA MS CCC-SLP)
Entity type:Individual
Prefix:
First Name:DEBRA
Middle Name:S
Last Name:STONE
Suffix:
Gender:F
Credentials:MA MS CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15042 SWEETWATER AVE
Mailing Address - Street 2:MARLEY PARK ELEMENTARY SCHOOL
Mailing Address - City:SURPRISE
Mailing Address - State:AZ
Mailing Address - Zip Code:85379-8164
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:15042 W SWEETWATER AVE
Practice Address - Street 2:MARLEY PARK ELEMENTARY SCHOOL
Practice Address - City:SURPRISE
Practice Address - State:AZ
Practice Address - Zip Code:85379-8164
Practice Address - Country:US
Practice Address - Phone:623-523-8200
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-19
Last Update Date:2011-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ7034235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist