DARRELL JAMES DERN

PHOENIX, AZ
NPI1659582153
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: AZ  0250)
Enumeration Date2007-05-25
Last Update Date2012-06-25
Business Address
-- DARRELL JAMES DERN M.S., CCC-SLP
16036 N 11TH AVE UNIT 1112
PHOENIX, AZ 85023-8207
Phone number: 602-315-4171
Mailing Address
-- DARRELL JAMES DERN M.S., CCC-SLP
16036 N 11TH AVE UNIT 1112
PHOENIX, AZ 85023-8207
Phone number: 602-315-4171