Provider Demographics
NPI:1871792978
Name:FLIEGER, DEBORAH M (MS CCC-SLP)
Entity type:Individual
Prefix:MS
First Name:DEBORAH
Middle Name:M
Last Name:FLIEGER
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:12099 W WASHINGTON BLVD
Mailing Address - Street 2:SUITE 408
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90066-5882
Mailing Address - Country:US
Mailing Address - Phone:310-245-4859
Mailing Address - Fax:424-228-4109
Practice Address - Street 1:12099 W WASHINGTON BLVD
Practice Address - Street 2:SUITE 408
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90066-5882
Practice Address - Country:US
Practice Address - Phone:310-245-4859
Practice Address - Fax:424-228-4109
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-17
Last Update Date:2017-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA13481235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist