Individual
DEREK CICCHITTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, CCC-SLP
Contact information
Practice address
3885 TENNYSON ST APT 205, DENVER, CO 80212-2275
(303) 746-3960
Mailing address
1806 N LINCOLN ST, FL 11, DENVER, CO 80203-7301
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
0000306
CO
Other
Enumeration date
05/24/2014
Last updated
08/05/2024
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