Individual
MARY ANN DERKACZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
31815 SOUTHFIELD RD STE 15, BEVERLY HILLS, MI 48025-5471
(248) 885-8240
Mailing address
29846 PLEASANT TRL, SOUTHFIELD, MI 48076-5719
(248) 890-0270
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
11/28/2016
Last updated
08/28/2019
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