Alyssa Nicole Deramus M.S. SLP-INTERN

NPI 1437564812 - Speech-Language Pathologist - 235Z00000X

NPI Details
NPI 1437564812
Gender Female
Enumeration Date 06/24/2014
Last Updated 06/24/2014
Entity Type Individual
Active Over 2 years ago
Practice Location
87 INTERSTATE 10 N
FRONTAGE RD #225
BEAUMONT TX, 77707-2544, US
Phone (409) 835-0228
Fax
Business Location
305 NE LOOP 820
BUSINESS TOWER 1 SUITE 200
HURST TX, 76053-7209, US
Phone (817) 292-8787
Fax (817) 789-6849
Toxanomy
Taxonomy Code 235Z00000X
License State Texas
License Number 110173
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According to our database, Mrs. Alyssa Nicole Deramus M.S. SLP-INTERN NPI is 1437564812, taxonomy code is 235Z00000X and license number is 110173, license state is located at Texas. Alyssa Nicole Deramus M.S. SLP-INTERN physically located at 87 Interstate 10 N, Beaumont TX, 77707-2544. NPI Number Alyssa Nicole Deramus M.S. SLP-INTERN has the Individual type.

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1437564812 NPI number is provided on an as is basis without warranty of any kind. 1437564812 is maintained by the National Plan & Provider Enumeration System. The contents of Alyssa Nicole Deramus M.S. SLP-INTERN are for informational purposes only.