Individual
MISS KATIE DERKACZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
6777 W MAPLE RD, SPEECH LANGUAGE PATHOLOGY DEPARTMENT, WEST BLOOMFIELD, MI 48322-3013
(248) 661-7241
(248) 325-0074
Mailing address
6777 W MAPLE RD, WEST BLOOMFIELD, MI 48322-3013
(248) 661-7241
(248) 325-0074
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101008382
MI
Other
Enumeration date
02/19/2025
Last updated
02/19/2025
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