Kathleen Ellen Derga MA CCC SLP

NPI 1174586838 - Speech-Language Pathologist - 235Z00000X

NPI Details
NPI 1174586838
Gender Female
Enumeration Date 04/11/2006
Last Updated 11/24/2015
Entity Type Individual
Active Over 10 years ago
Practice Location
5000 ROCKSIDE RD STE 500
INDEPENDENCE OH, 44131-2178, US
Phone (216) 459-2846
Fax (216) 901-2803
Business Location
855 WOODHAVEN LN
MEDINA OH, 44256-1201, US
Phone (330) 722-2035
Fax (330) 723-4530
Toxanomy
Taxonomy Code 235Z00000X
License State Ohio
License Number SP2499
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According to our database, Mrs. Kathleen Ellen Derga MA CCC SLP NPI is 1174586838, taxonomy code is 235Z00000X and license number is SP2499, license state is located at Ohio. Kathleen Ellen Derga MA CCC SLP physically located at 5000 Rockside Rd Ste 500, Independence OH, 44131-2178. NPI Number Kathleen Ellen Derga MA CCC SLP has the Individual type.

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1174586838 NPI number is provided on an as is basis without warranty of any kind. 1174586838 is maintained by the National Plan & Provider Enumeration System. The contents of Kathleen Ellen Derga MA CCC SLP are for informational purposes only.