Dina Derrick

NPI 1154635084 - Speech-Language Pathologist - 235Z00000X

NPI Details
NPI 1154635084
Gender Female
Enumeration Date 08/03/2010
Last Updated 08/03/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
130 WESCOTT RD
SOUTH PORTLAND SCHOOL DEPARTMENT
SOUTH PORTLAND ME, 04106-3420, US
Phone (207) 871-0555
Fax (207) 871-0559
Business Location
130 WESCOTT RD
SOUTH PORTLAND SCHOOL DEPARTMENT
SOUTH PORTLAND ME, 04106-3420, US
Phone (207) 871-0555
Fax (207) 871-0559
Toxanomy
Taxonomy Code 235Z00000X
License State Maine
License Number SP944
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According to our database, Dina Derrick NPI is 1154635084, taxonomy code is 235Z00000X and license number is SP944, license state is located at Maine. Dina Derrick physically located at 130 Wescott Rd, South Portland ME, 04106-3420. NPI Number Dina Derrick has the Individual type.

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1154635084 NPI number is provided on an as is basis without warranty of any kind. 1154635084 is maintained by the National Plan & Provider Enumeration System. The contents of Dina Derrick are for informational purposes only.