Individual
MRS. ANDREA RENEE DERIZZIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS CCC SLP
Contact information
Practice address
8 JOHNSON ST, MOUNT VERNON, NY 10550-4911
(914) 527-6190
(914) 668-0531
Mailing address
8 JOHNSON ST, MOUNT VERNON, NY 10550-4911
(914) 527-6190
(914) 668-0531
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
018132-1
NY
Other
Enumeration date
12/01/2008
Last updated
12/01/2008
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