Individual
DERRICK EDWARD GLASSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CCC-SLP
Contact information
Practice address
2000 ALLEN ST, KELSO, WA 98626-5002
(360) 501-1750
(360) 501-1782
Mailing address
2000 ALLEN ST, KELSO, WA 98626-5002
(360) 501-1750
(360) 501-1782
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL60938429
WA
Other
Enumeration date
09/02/2021
Last updated
09/02/2021
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