Provider Demographics
NPI:1144537457
Name:JORIS, DEBORAH A
Entity type:Individual
Prefix:MRS
First Name:DEBORAH
Middle Name:A
Last Name:JORIS
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 1:154 WINDERMERE RD
Mailing Address - Street 2:
Mailing Address - City:LOCKPORT
Mailing Address - State:NY
Mailing Address - Zip Code:14094-3426
Mailing Address - Country:US
Mailing Address - Phone:716-434-0572
Mailing Address - Fax:
Practice Address - Street 1:154 WINDERMERE RD
Practice Address - Street 2:
Practice Address - City:LOCKPORT
Practice Address - State:NY
Practice Address - Zip Code:14094-3426
Practice Address - Country:US
Practice Address - Phone:716-434-0572
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-09-08
Last Update Date:2010-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist