Provider Demographics
NPI:1194520163
Name:DEEB, WAFAA (MA, CCC-SLP)
Entity type:Individual
Prefix:
First Name:WAFAA
Middle Name:
Last Name:DEEB
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1433 S KENTON ST
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80012-4119
Mailing Address - Country:US
Mailing Address - Phone:407-970-2207
Mailing Address - Fax:
Practice Address - Street 1:1110 CHAPEL HILLS DR
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80920-3923
Practice Address - Country:US
Practice Address - Phone:719-234-1200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-14
Last Update Date:2025-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor