Individual
MRS. JACQUELINE DOROTHY DERBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CF-SLP
Contact information
Practice address
1000 E EVANS BLVD, APT B, BRIGANTINE, NJ 08203-3258
(603) 944-7012
Mailing address
1000 E EVANS BLVD, APT B, BRIGANTINE, NJ 08203-3258
(603) 944-7012
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
TL-1968
NJ
Other
Enumeration date
07/03/2011
Last updated
07/03/2011
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