Mrs Terra Lynne Devereaux, MS, CCC-SLP/L is a
Speech-language Pathologist based in Frewsburg, New York. Mrs Terra Lynne Devereaux is licensed to practice in New York (license number 010502-1) and her current practice location is
135 Ivory St, Frewsburg, New York. She can be reached at her office (for appointments etc.) via phone at
(716) 569-7031.
NPI number for Mrs Terra Lynne Devereaux is 1477836088 and her current mailing address is Po Box 690, 135 Ivory Road, Frewsburg, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1477836088.
Healthcare Provider's Profile
| Full Name | Mrs Terra Lynne Devereaux |
|---|
| Gender | Female |
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| Speciality | Speech-language Pathologist |
|---|
| Location | 135 Ivory St, Frewsburg, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1477836088
- Provider Enumeration Date: 09/21/2011
- Last Update Date: 09/21/2011
Medical Identifiers
Medical identifiers for Mrs Terra Lynne Devereaux such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1477836088 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 235Z00000X | Speech-language Pathologist | 010502-1 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Terra Lynne Devereaux is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mrs Terra Lynne Devereaux, MS, CCC-SLP/L
Po Box 690, 135 Ivory Road,
Frewsburg, NY 14738-0690
Ph: (716) 569-7031 | Mrs Terra Lynne Devereaux, MS, CCC-SLP/L
135 Ivory St,
Frewsburg, NY 14738-9531
Ph: (716) 569-7031 |
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