Individual
MS. SUSAN DEROSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
PO BOX 7041, KAMUELA, HI 96743-7041
(808) 333-9733
Mailing address
PO BOX 7041, KAMUELA, HI 96743-7041
(808) 333-9733
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP-1289
HI
Other
Enumeration date
10/07/2010
Last updated
10/21/2025
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