Debardelaben, Layne Jeffrey
Debardelaben, Layne Jeffrey is an individual health care provider with primary practice located at 4101 S Medford Dr , Lufkin TX 75901-5633. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Debardelaben, Layne Jeffrey can be contacted via phone (936) 639-1141.Contact Information
Primary practice address
4101 S Medford Dr
Lufkin TX 75901-5633
Phone: (936) 639-1141
Fax: (936) 633-5695
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 16797 | Texas |
Profile Details
| NPI number | 1396816575 |
|---|---|
| LBN Legal business name | Debardelaben, Layne Jeffrey |
| Credentials | SP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 10th, 2006 |
| Last updated | Jul 9th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1396816575 | NPPES |
| Texas | Other | 82603T | BLUE CROSS BLUE SHIELD |
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