DEBORA JEAN PATRICK (NPI# 1750407722) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750407722 |
| Entity Type | Individual |
| Full Name | DEBORA JEAN PATRICK |
| Credential | MA. CCC-SLP |
| Practice Address |
61 Cooper St Agawam MA 01001-2149 |
| Mailing Address |
3 Lynch Pl South Hadley MA 01075-2305 |
| Practice Telephone | 4137868000 |
| Practice Fax Number | 4137892359 |
| Mailing Telephone | 4135360459 |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 235Z00000X | Speech-Language Pathologist | 003272 | CT | Speech, Language and Hearing Service Providers |
| Y | 235Z00000X | Speech-Language Pathologist | 4794 | MA | Speech, Language and Hearing Service Providers |
| Street Address |
61 COOPER ST |
| City | AGAWAM |
| State | MA |
| Zip Code | 01001-2149 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770558850 | Frank Douglas Benson | Nurse Practitioner | 61 Cooper St, Heritage Hall West, Agawam, MA 01001-2149 | 2006-02-22 |
| 1104438480 | Post Acute Specialists of Massachusetts Pllc | Internal Medicine | 61 Cooper St, Agawam, MA 01001-2149 | 2020-08-19 |
| 1326656968 | Tshepiso Mohlala | Physical Therapist | 61 Cooper St, Agawam, MA 01001-2149 | 2020-07-20 |
| 1801249685 | Megan Grimard | Occupational Therapist | 61 Cooper St, Agawam, MA 01001-2149 | 2016-07-18 |
| 1801282835 | Shannon Austin | Occupational Therapy Assistant | 61 Cooper St, Agawam, MA 01001-2149 | 2015-04-07 |
| 1528468758 | Timothy Draleau | Physical Therapist | 61 Cooper St, Agawam, MA 01001-2149 | 2014-08-25 |
| 1932522380 | Courtney Brown | Physical Therapist | 61 Cooper St, Agawam, MA 01001-2149 | 2014-01-21 |
| 1881021566 | Tracy Word | Physical Therapy Assistant | 61 Cooper St, Agawam, MA 01001-2149 | 2013-09-26 |
| 1437322641 | Karen A Croteau | Physical Therapy Assistant | 61 Cooper St, Agawam, MA 01001-2149 | 2008-04-09 |
| 1952583775 | 61 Cooper Street Operations LLC | Skilled Nursing Facility | 61 Cooper St, Agawam, MA 01001-2149 | 2007-12-04 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154940393 | Bryan Christopher Forbes | Pharmacist | 287 Springfield Street, Cvs Pharmacy, Agawam, MA 01001 | 2020-04-08 |
| 1497235568 | Nancy Carley | Physical Therapist | 1200 Suffield Street, Agawam, MA 01001 | 2018-08-18 |
| 1568813293 | Cornerstone Kids Dentistry | Dentist | 332 Suffield Sreet, Agawam, MA 01001 | 2016-06-23 |
| 1881001881 | Friends 4 Life LLC | Home Health | 650 Suffield Street, Agawam, MA 01001 | 2014-07-22 |
| 1306065792 | Alfred Louis Caron | Speech-Language Pathologist | Tender Loving Care, 67 Hunt St Suite 102, Agawam, MA 01001 | 2007-04-24 |
| 1497870935 | Maureen Clare Reynolds | Physical Therapy Assistant | 62 Cooper St, Agawam, MA 01001 | 2007-03-21 |
| 1700958857 | Agawam Medical Supply Corp | Prosthetic/Orthotic Supplier | 56 Abrams Drive, Agawam, MA 01001 | 2006-11-14 |
| 1356389167 | Michael Stephen Haynes | Podiatrist | 200 Silver St., Suite 215, Agawam, MA 01001 | 2006-06-03 |
| 1952369175 | Sharon Anne Macmillan | Obstetrics & Gynecology | 200 Silver Street, Suite 214, Agawam, MA 01001 | 2006-05-04 |
| 1275593758 | Internal Medicine PC | Internal Medicine | 377 Walnut Street Extension, Agawam, MA 01001 | 2006-03-27 |
| Find all providers in zip 01001 | ||||
| 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 |
|---|---|---|---|---|
| 1316586761 | Alyssa Febo | Speech-Language Pathologist | 616 Suffield St, Agawam, MA 01001-2372 | 2020-01-02 |
| 1972054658 | Karen Tremble | Speech-Language Pathologist | 74 Blairs Hill Rd, Agawam, MA 01001-2289 | 2016-10-18 |
| 1306065792 | Alfred Louis Caron | Speech-Language Pathologist | Tender Loving Care, 67 Hunt St Suite 102, Agawam, MA 01001 | 2007-04-24 |
| 1720403710 | Joel Krutt | Speech-Language Pathologist | 65 Cooper St, Agawam, MA 01001-2149 | 2014-02-27 |
| 1003173451 | Maria S. Krusemark | Speech-Language Pathologist | 55 Cooper St, Agawam, MA 01001-2149 | 2012-04-23 |
| 1881990323 | Nicole R Wrobleski | Speech-Language Pathologist | 462 Main St, Agawam, MA 01001-1833 | 2011-02-01 |
| 1982729653 | Kimberly A. Dewey | Speech-Language Pathologist | 464 Main St, Agawam, MA 01001-1826 | 2007-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457952525 | Michaela Cataldo | Speech-Language Pathologist | 169 Beale St, Quincy, MA 02170-3340 | 2020-11-05 |
| 1235730235 | Communikids Speech and Language Services | Speech-Language Pathologist | 18 Groveland St, Auburndale, MA 02466-2319 | 2020-11-05 |
| 1366043234 | Katrina Mcnichol | Speech-Language Pathologist | 184 Pleasant Valley St Ste 2-102, Methuen, MA 01844-5853 | 2020-11-05 |
| 1801495627 | Taryn M Barlow | Speech-Language Pathologist | 7 Park Lane Ave, Milford, MA 01757-2023 | 2020-10-22 |
| 1902405236 | Elizabeth Anne Gavett | Speech-Language Pathologist | 8 Wesley St, Newton, MA 02458-1963 | 2020-10-19 |
| 1003414962 | Kristen Foaksman | Speech-Language Pathologist | 114 Greenwood Ave, Swampscott, MA 01907-2166 | 2020-10-13 |
| 1871190769 | Emma Comiskey | Speech-Language Pathologist | 210 Bear Hill Rd Ste 400, Waltham, MA 02451-1025 | 2020-10-05 |
| 1588271837 | Pamela J Hoag | Speech-Language Pathologist | 30 Lamson Ave, Belchertown, MA 01007-9710 | 2020-09-29 |
| 1821605221 | Allison Reid | Speech-Language Pathologist | 15 Quincy St Apt 6, Somerville, MA 02143-1751 | 2020-09-29 |
| 1255948709 | Boston Sensory Solutions | Speech-Language Pathologist | 500 Granite Ave Ste 2, Milton, MA 02186-5626 | 2020-09-29 |
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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.