Individual
DEREK M LEVERETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A, CCC-SLP
Contact information
Practice address
15820 ADDISON RD, ADDISON, TX 75001-3549
(866) 919-3240
Mailing address
2222 MEDICAL DISTRICT DR APT 3413, DALLAS, TX 75235-8047
(734) 548-7134
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
07/27/2018
Last updated
07/27/2018
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