Provider Demographics
NPI:1982049383
Name:PRICHARD, DEBORAH GRAY
Entity Type:Individual
Prefix:MRS
First Name:DEBORAH
Middle Name:GRAY
Last Name:PRICHARD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:103 KIMBERLY DR
Mailing Address - Street 2:
Mailing Address - City:DICKSON
Mailing Address - State:TN
Mailing Address - Zip Code:37055-3334
Mailing Address - Country:US
Mailing Address - Phone:615-390-0822
Mailing Address - Fax:
Practice Address - Street 1:103 KIMBERLY DR
Practice Address - Street 2:
Practice Address - City:DICKSON
Practice Address - State:TN
Practice Address - Zip Code:37055-3334
Practice Address - Country:US
Practice Address - Phone:615-390-0822
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-30
Last Update Date:2013-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist