Individual
DERICK D. DEWEBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S., CCC-SLP
Contact information
Practice address
3030 NW EXPRESSWAY, SUITE 809, OKLAHOMA CITY, OK 73112
(405) 917-7160
Mailing address
14200 N MAY AVENUE, APT. 412, OKLAHOMA CITY, OK 73134
(254) 498-4296
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3138
OK
Other
Enumeration date
05/03/2007
Last updated
07/08/2007
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