Individual
MR. DERRICK JEROD JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS
Contact information
Practice address
7601 MATAPEAKE BUSINESS DRIVE, BRANDYWINE, MD 20613
(301) 758-6857
Mailing address
PO BOX 739, COLLEGE PARK, MD 20741-0739
(301) 758-6857
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
1147
MD
Other
Enumeration date
04/09/2008
Last updated
07/16/2009
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