Derek Perkins, M.S, CCC-SLP
Speech-Language Pathologist, in San Antonio, TX. Individual provider (NPI-1).
NPI number1073774550
StatusActive
Last updated in NPPESMar 12, 2014
Details
- NPI
- 1073774550
- Entity type
- Individual (NPI-1)
- Name
- Derek Perkins
- Credential
- M.S, CCC-SLP
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 18, 2008
- Last updated
- Mar 12, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | 105931 | TX | Yes |
Practice location
6800 Park Ten BlvdSte 135-East
San Antonio, TX 78213-4211
Phone 210-734-6050
Mailing address
210 Windwood LnVictoria, TX 77904-2914
Phone 361-212-4955
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