Individual
DARRELL JAMES DERN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S., CCC-SLP
Contact information
Practice address
16036 N 11TH AVE UNIT 1112, PHOENIX, AZ 85023-8207
(602) 315-4171
Mailing address
16036 N 11TH AVE UNIT 1112, PHOENIX, AZ 85023-8207
(602) 315-4171
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
0250
AZ
Other
Enumeration date
05/25/2007
Last updated
06/25/2012
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