Provider Demographics
NPI:1285616441
Name:COX, DEBORAH A (MS)
Entity type:Individual
Prefix:MS
First Name:DEBORAH
Middle Name:A
Last Name:COX
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 ARLINGTON PL
Mailing Address - Street 2:
Mailing Address - City:LYNCHBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24503-2638
Mailing Address - Country:US
Mailing Address - Phone:434-947-3125
Mailing Address - Fax:434-384-3976
Practice Address - Street 1:1330 OAK LN
Practice Address - Street 2:STE 204
Practice Address - City:LYNCHBURG
Practice Address - State:VA
Practice Address - Zip Code:24503-2513
Practice Address - Country:US
Practice Address - Phone:434-947-3125
Practice Address - Fax:434-384-3976
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-15
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2101001368231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA008608C04Medicare ID - Type Unspecified