Dina Derrick
NPI #1154635084 in South Portland, Maine
Provider Information
- NPI Number
- 1154635084
- Entity Type
- Individual
- Name
- Dina Derrick
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- Aug 3, 2010
- Last Updated
- Aug 3, 2010
Practice Location
- Address
- 130 WESCOTT RD
- Address 2
- SOUTH PORTLAND SCHOOL DEPARTMENT
- City
- South Portland
- State
- Maine
- ZIP Code
- 04106-3420
- Phone
- (207) 871-0555
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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