Individual
MRS. ALYSSA NICOLE DERAMUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. SLP-INTERN
Contact information
Practice address
87 INTERSTATE 10 N, FRONTAGE RD #225, BEAUMONT, TX 77707-2544
(409) 835-0228
Mailing address
305 NE LOOP 820, BUSINESS TOWER 1 SUITE 200, HURST, TX 76053-7209
(817) 292-8787
(817) 789-6849
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
110173
TX
Other
Enumeration date
06/24/2014
Last updated
06/24/2014
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