Provider Demographics
NPI:1770891228
Name:WESTMORELAND, DEBORAH EILEEN (MS)
Entity type:Individual
Prefix:MRS
First Name:DEBORAH
Middle Name:EILEEN
Last Name:WESTMORELAND
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2931 E MINTON ST
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85213-1696
Mailing Address - Country:US
Mailing Address - Phone:480-510-2029
Mailing Address - Fax:
Practice Address - Street 1:5314 RIVER RUN DR STE 140
Practice Address - Street 2:
Practice Address - City:PROVO
Practice Address - State:UT
Practice Address - Zip Code:84604-7706
Practice Address - Country:US
Practice Address - Phone:801-494-0482
Practice Address - Fax:801-426-4953
Is Sole Proprietor?:No
Enumeration Date:2010-09-17
Last Update Date:2014-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZSLP0601235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist