Individual
MRS. JESSIE LYNN DERBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. SLP
Contact information
Practice address
7 ELLIOTT ST, COUNCIL BLUFFS, IA 51503-0239
(712) 328-9500
Mailing address
PO BOX 123, SOUTH BEND, NE 68058-0123
(402) 679-2338
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
259
NE
Other
Enumeration date
08/23/2010
Last updated
05/06/2013
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