National Provider Identifier
Terra Lynne Devereaux, MS, CCC-SLP/L
Terra Lynne Devereaux, MS, CCC-SLP/L is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Frewsburg, NY and a listed phone number of (716) 569-7031.
Profile Overview
- NPI
- 1477836088
- Provider Type
- Individual
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- September 21, 2011
- Last Updated
- September 21, 2011
Practice Location
- 135 Ivory St
- Frewsburg, NY 14738-9531
Phone: (716) 569-7031
Mailing Address
- PO Box 690
- 135 Ivory Road
- Frewsburg, NY 14738-0690
Specialties
- Speech-Language Pathologist (235Z00000X)
Full Record
- NPI
- 1477836088
- Entity Type
- Individual
- Last Name
- Devereaux
- First Name
- Terra
- Middle Name
- Lynne
- Name Prefix
- Mrs.
- Credential
- MS, CCC-SLP/L
- Mailing Street Address
- PO Box 690
- Mailing Address Line 2
- 135 Ivory Road
- Mailing City
- Frewsburg
- Mailing State
- NY
- Mailing ZIP Code
- 14738-0690
- Mailing Country
- US
- Mailing Phone
- (716) 569-7031
- Practice Street Address
- 135 Ivory St
- Practice City
- Frewsburg
- Practice State
- NY
- Practice ZIP Code
- 14738-9531
- Practice Country
- US
- Practice Phone
- (716) 569-7031
- Enumeration Date
- September 21, 2011
- Last Updated
- September 21, 2011
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Speech-Language Pathologist (235Z00000X)