Individual
DERRY ANNE HOLLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9526 W BLUE SKY DR, PEORIA, AZ 85383-8740
(602) 717-7575
Mailing address
9526 W BLUE SKY DR, PEORIA, AZ 85383-8740
(602) 717-7575
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP0870
AZ
Other
Enumeration date
09/07/2022
Last updated
09/07/2022
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