Allison Jane Derocher, M.S. CCC-SLP
Speech-Language Pathologist, in Fort Pierce, FL. Individual provider (NPI-1).
NPI number1205278207
StatusActive
Last updated in NPPESJul 19, 2013
Details
- NPI
- 1205278207
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Allison Jane Derocher
- Credential
- M.S. CCC-SLP
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 19, 2013
- Last updated
- Jul 19, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | SZ 6004 | FL | Yes |
Practice location
1213 W 1st StFort Pierce, FL 34982-7213
Phone 772-216-3634
Mailing address
1213 W 1st StFort Pierce, FL 34982-7213
Phone 772-216-3634
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