Individual
DEIRDRE A NORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP-CCC
Contact information
Practice address
1101 W VICKERY BLVD, FORT WORTH, TX 76104
(682) 885-6294
(682) 885-1135
Mailing address
PO BOX 99283, FT WORTH, TX 76199-1383
(682) 885-6294
(682) 885-1135
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
112124
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
149984001
—
TX
05
—
207164901
—
TX
Enumeration date
12/20/2010
Last updated
08/16/2018
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