Individual
BRIAN J DERIENZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ST
Contact information
Practice address
1020 S MAIN ST, QUAKERTOWN, PA 18951-1561
(215) 536-9300
(215) 539-8894
Mailing address
316 RIDGEVIEW DR, ALBURTIS, PA 18011-9306
(610) 966-4350
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL002876L
PA
Other
Enumeration date
03/20/2007
Last updated
07/08/2007
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