Individual
DERRA HUXLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
16055 VENTURA BLVD STE 905, ENCINO, CA 91436-2611
(818) 385-1716
Mailing address
16055 VENTURA BLVD STE 905, ENCINO, CA 91436-2611
(818) 385-1716
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3548
CA
Other
Enumeration date
11/10/2010
Last updated
09/20/2012
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