Provider Demographics
NPI:1548502933
Name:ULBRIGHT, DEBORAH (LICENSED SLP)
Entity type:Individual
Prefix:MRS
First Name:DEBORAH
Middle Name:
Last Name:ULBRIGHT
Suffix:
Gender:F
Credentials:LICENSED SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6596 GROVELAND HILL RD
Mailing Address - Street 2:
Mailing Address - City:GROVELAND
Mailing Address - State:NY
Mailing Address - Zip Code:14462-9515
Mailing Address - Country:US
Mailing Address - Phone:585-243-0617
Mailing Address - Fax:585-243-0617
Practice Address - Street 1:6596 GROVELAND HILL RD
Practice Address - Street 2:
Practice Address - City:GROVELAND
Practice Address - State:NY
Practice Address - Zip Code:14462-9515
Practice Address - Country:US
Practice Address - Phone:585-243-0617
Practice Address - Fax:585-243-0617
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-23
Last Update Date:2014-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY005504235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist