Provider Demographics
NPI:1831333731
Name:SLAUGHTER-DUDLEY, DEBORAH S (DEBBY DUDLEY, LPC)
Entity type:Individual
Prefix:MS
First Name:DEBORAH
Middle Name:S
Last Name:SLAUGHTER-DUDLEY
Suffix:
Gender:F
Credentials:DEBBY DUDLEY, LPC
Other - Prefix:
Other - First Name:DEBBY
Other - Middle Name:S
Other - Last Name:DUDLEY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DEBBY DUDLEY, LPC
Mailing Address - Street 1:3838 OAK LAWN AVE
Mailing Address - Street 2:SUITE 812
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75219-4520
Mailing Address - Country:US
Mailing Address - Phone:214-497-7050
Mailing Address - Fax:
Practice Address - Street 1:5734 PRESTON HAVEN DR
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75230-2601
Practice Address - Country:US
Practice Address - Phone:214-497-7050
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-23
Last Update Date:2009-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX18275101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional