Derek Headley MS CCC-SLP

NPI 1679708358 - Speech-Language Pathologist - 235Z00000X

NPI Details
NPI 1679708358
Gender Male
Enumeration Date 05/24/2009
Last Updated 05/24/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
2704 NE 8TH AVE
WILTON MANORS FL, 33334-2654, US
Phone (954) 218-2184
Fax
Business Location
2704 NE 8TH AVE
WILTON MANORS FL, 33334-2654, US
Phone (954) 218-2184
Fax
Toxanomy
Taxonomy Code 235Z00000X
License State Florida
License Number SA 9018
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According to our database, Derek Headley MS CCC-SLP NPI is 1679708358, taxonomy code is 235Z00000X and license number is SA 9018, license state is located at Florida. Derek Headley MS CCC-SLP physically located at 2704 Ne 8th Ave, Wilton Manors FL, 33334-2654. NPI Number Derek Headley MS CCC-SLP has the Individual type.

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1679708358 NPI number is provided on an as is basis without warranty of any kind. 1679708358 is maintained by the National Plan & Provider Enumeration System. The contents of Derek Headley MS CCC-SLP are for informational purposes only.