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Contact Information

DEBORAH ROBERTS, CCC-SLP
2348 SOUTH THIRD STREET
JACKSONVILLE BEACH, FL32250
 Phone: 904-249-8893
 Fax: 904-246-7259
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Speech-Language Pathologist

235Z00000X 15 Speech Language Pathologist
Indicates primary specialty

NPI Profile & details for DEBORAH ROBERTS · (Female)

NPI Number 1518188671
Status Active
Credentials CCC-SLP (Certificate of Clinical Competance in Speech language pathology)
Entity Individual
Enumeration date 05/02/2007
Last updated 07/09/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • FL License # SA3317
  • FL Other 700493 ACN GROUP
  • FL Other S1829 BCBS PROVIDER #
  • FL Other 338771 WELLCARE ID
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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