Provider Demographics
NPI:1902201296
Name:COUSINS, DEBORAH HOUK (SLT)
Entity Type:Individual
Prefix:MRS
First Name:DEBORAH
Middle Name:HOUK
Last Name:COUSINS
Suffix:
Gender:F
Credentials:SLT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1183 HEBRON DUNBAR RD
Mailing Address - Street 2:
Mailing Address - City:BENNETTSVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29512-7307
Mailing Address - Country:US
Mailing Address - Phone:843-862-0109
Mailing Address - Fax:
Practice Address - Street 1:1183 HEBRON DUNBAR RD
Practice Address - Street 2:
Practice Address - City:BENNETTSVILLE
Practice Address - State:SC
Practice Address - Zip Code:29512-7307
Practice Address - Country:US
Practice Address - Phone:843-862-0109
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-29
Last Update Date:2014-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant