MS. DEIRDRE LYNNE MAYBANK (NPI# 1326320102) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326320102 |
| Entity Type | Individual |
| Full Name | MS. DEIRDRE LYNNE MAYBANK |
| Credential | M.A., CCC-SLP |
| Practice Address |
2720 Sheraton Dr Suite D-140 Macon GA 31204-1167 |
| Mailing Address |
1901 Century Blvd Ne Suite 20 Atlanta GA 30345-3300 |
| Practice Telephone | 4787410019 |
| Practice Fax Number | 4787421308 |
| Mailing Telephone | 4046338911 |
| Mailing Fax Number | 4046336403 |
| Enumeration Date | 2011-09-16 |
| Last Update Date | 2011-09-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | SLP007696 | GA | Speech, Language and Hearing Service Providers |
| Street Address |
2720 SHERATON DR SUITE D-140 |
| City | MACON |
| State | GA |
| Zip Code | 31204-1167 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962789370 | Auditory Verbal Center, Inc. | Voluntary or Charitable | 2720 Sheraton Dr, Suite D-140, Macon, GA 31204-1167 | 2011-11-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942775085 | Amy Lynn Miller | Counselor | 890 Northwoods Plaza/burrus Road, Macon, GA 31204 | 2018-10-04 |
| 1275056566 | Kenyada Moss | Counselor | 762 Thurmond Dr., Macon, GA 31204 | 2017-07-19 |
| 1508303876 | Amber Foster | Counselor | 890 Northwoods Plaza, Macon, GA 31204 | 2017-01-25 |
| 1952757585 | Sarah Vanselous Spencer | Speech-Language Pathologist | 2720 Sheraton Dr # D-140, Macon, GA 31204 | 2016-05-12 |
| 1952706343 | Matthew Wayne Frazier | Pharmacist | 4260 Log Cabin Dr, Macon, GA 31204 | 2014-10-28 |
| 1215338587 | Sharon Yvette Flewellen | Licensed Practical Nurse | 1876 Moore Street, Macon, GA 31204 | 2014-09-05 |
| 1336565647 | Accel Wellness Center, LLC | Specialist | 3083 Vineville Avenue, Macon, GA 31204 | 2014-03-11 |
| 1821439811 | Irene Gung Ho | Physician Assistant | 3203 Vineville Ave Ste A, Macon, GA 31204 | 2013-07-08 |
| 1518125657 | Jennifer Burns | Marriage & Family Therapist | 116 Pierce Avenue, Macon, GA 31204 | 2008-05-27 |
| 1255599346 | Methodist Home of The South Georgia Conference, Inc. | Voluntary or Charitable | 304 Pierce Avenue, Macon, GA 31204 | 2008-05-27 |
| Find all providers in zip 31204 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952757585 | Sarah Vanselous Spencer | Speech-Language Pathologist | 2720 Sheraton Dr # D-140, Macon, GA 31204 | 2016-05-12 |
| 1396103552 | Tracy Lucas | Speech-Language Pathologist | 127 River Forest Drive, Macon, GA 31211-6323 | 2016-02-03 |
| 1871961763 | Talia Rogers | Speech-Language Pathologist | 5021 Mercer University Dr, D3, Macon, GA 31210-5691 | 2015-09-09 |
| 1295116267 | Mable Anderson | Speech-Language Pathologist | 946 Summit Ave, Macon, GA 31211-1818 | 2015-06-15 |
| 1992112056 | Marilyn Martinez-bosch | Speech-Language Pathologist | 1872 Waverland Dr, Macon, GA 31211-1122 | 2014-07-21 |
| 1306273651 | Monique Whipple | Speech-Language Pathologist | 164 Summer Grove Lane, Macon, GA 31206 | 2013-10-02 |
| 1720308893 | Carla W Holt | Speech-Language Pathologist | 441 Ashville Dr, Macon, GA 31210-1684 | 2010-06-10 |
| 1053642454 | Carrie Mcelreath | Speech-Language Pathologist | 258 Belvedere Dr, Macon, GA 31204-1859 | 2010-01-25 |
| 1497986327 | Cassandra D Gaskins | Speech-Language Pathologist | 291 Plantation Centre Dr N Apt 2516, Macon, GA 31210-9245 | 2009-07-27 |
| 1841435120 | Evelyn Dixon | Speech-Language Pathologist | 3213 Bethune Ave, Macon, GA 31211-7609 | 2008-12-15 |
| Find all providers in MACON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.