Provider Demographics
NPI:1841539087
Name:BROWN-LANDRUM, DEBORAH TORREY (MA, CCC-SLP)
Entity type:Individual
Prefix:
First Name:DEBORAH
Middle Name:TORREY
Last Name:BROWN-LANDRUM
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 1:6 1390 CAVALIER WAY
Mailing Address - Street 2:SPARTANBURG SCHOOL DISTRICT
Mailing Address - City:ROEBUCK
Mailing Address - State:SC
Mailing Address - Zip Code:29376-3367
Mailing Address - Country:US
Mailing Address - Phone:864-266-8863
Mailing Address - Fax:
Practice Address - Street 1:6 1390 CAVALIER WAY
Practice Address - Street 2:SPARTANBURG SCHOOL DISTRICT
Practice Address - City:ROEBUCK
Practice Address - State:SC
Practice Address - Zip Code:29376-3367
Practice Address - Country:US
Practice Address - Phone:864-266-8863
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-07
Last Update Date:2013-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC2269235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist