Individual
REBECCA GRACE DERADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
15515 STONY CREEK WAY, NOBLESVILLE, IN 46060-4386
(317) 776-9000
Mailing address
14926 RIVERDALE DR E APT 16, CARMEL, IN 46033-1628
(317) 750-4232
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22006439A
IN
Other
Enumeration date
05/15/2017
Last updated
05/15/2017
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