Individual
LAURA DERRICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
1545 HUY RD, COLUMBUS, OH 43224-3531
(614) 365-5977
Mailing address
600 W GOODALE ST, 453, COLUMBUS, OH 43215-1597
(859) 351-9316
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP. 12017
OH
Other
Enumeration date
02/16/2017
Last updated
02/16/2017
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