Sebrell, Deborah M

Sebrell, Deborah M is an individual health care provider with primary practice located at 1635 Boling St , Jackson MS 39213-4418. 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. Sebrell, Deborah M can be contacted via phone (601) 366-0123.

Contact Information

Primary practice address
1635 Boling St Jackson MS 39213-4418
Fax: (601) 366-0649
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X S2527 Mississippi

Profile Details

NPI number 1821188285
LBN Legal business name Sebrell, Deborah M
Credentials M.A., CCC/SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2006
Last updated Jun 19th, 2021 - about 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821188285 NPPES
Mississippi MEDICAID 00125045

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