| Doctor Name: | DERICK D. DEWEBER |
| NPI Number: | 1386866937 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.S., CCC-SLP |
| License Number: | 3138 |
| Business Practice Address: | 3030 Nw Expressway Suite 809 Oklahoma City, OK - 73112 |
| Business Phone Number: | 4059177160 |
| Business Fax Number: | |
| Mailing Address: | 14200 N May Avenue, Apt. 412 OKLAHOMA CITY |
| State: | OK |
| Postal Code: | 73134 |
| Phone Number: | 2544984296 |
| Fax Number: | |
| NPI Enumeration Date: | 05/03/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 3138 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OK |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Speech-Language Pathologist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A speech pathologist is a person qualified by a master |