Individual
MR. DERRIK THOMAS LEGLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SLP
Contact information
Practice address
729 S ARAPEEN DR RM 1368, SALT LAKE CITY, UT 84108-1218
(801) 585-0779
Mailing address
729 S ARAPEEN DR RM 1368, SALT LAKE CITY, UT 84108-1218
(801) 585-0779
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2204000425
VA
Other
Enumeration date
01/22/2020
Last updated
12/17/2021
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