Individual
DEREK TANNOUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, CCC-SLP
Contact information
Practice address
1134 KENNEBEC DR STE B, CHAMBERSBURG, PA 17201-2809
(717) 446-0439
Mailing address
709 PHILADELPHIA AVE, CHAMBERSBURG, PA 17201-1266
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL015110
PA
Other
Enumeration date
08/13/2020
Last updated
08/13/2020
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