Doctor Name: | MS. NATALIE ELAINE DERR |
NPI Number: | 1528298791 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS |
License Number: | 12038 |
Business Practice Address: | 490 N 2nd St Coos Bay, OR - 974202370 |
Business Phone Number: | 5412675221 |
Business Fax Number: | 5412675221 |
Mailing Address: | 490 N 2nd St, COOS BAY |
State: | OR |
Postal Code: | 974202370 |
Phone Number: | 5412675221 |
Fax Number: | 5412675221 |
NPI Enumeration Date: | 07/21/2009 |
NPI Last Update Date: | 07/21/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 12038 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OR |
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 |