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Individual

DERRICK GARNER SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.S., CCC-SLP

Contact information

Practice address
24422 AVENIDA DE LA CARLOTA STE 190, LAGUNA HILLS, CA 92653-3634
(949) 340-6937
Mailing address
9191 DALTON CIR, WESTMINSTER, CA 92683-6517
(714) 902-9171

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP32594
CA

Other

Enumeration date
07/29/2020
Last updated
02/19/2025
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