Individual
NICHOLAS DEROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SLP
Contact information
Practice address
6927 OLD SEWARD HWY STE 100, ANCHORAGE, AK 99518-2283
(907) 345-0050
(907) 344-5103
Mailing address
6927 OLD SEWARD HWY STE 100, ANCHORAGE, AK 99518-2283
(907) 345-0050
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLPS503
AK
Other
Enumeration date
07/03/2024
Last updated
07/03/2024
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