| NPI | 1326320102 |
|---|---|
| Former Name | DEIRDRE LYNNE MAYBANK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP007696) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MD 11370) |
| Enumeration Date | 2011-09-16 |
| Last Update Date | 2024-11-14 |