MRS. Stacy Derenard, M.A., CCC-SLP
NPI #1427267608 in Garden Grove, California
Provider Information
- NPI Number
- 1427267608
- Entity Type
- Individual
- Name
- MRS. Stacy Derenard, M.A., CCC-SLP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Speech-Language Pathologist
- Credential
- M.A., CCC-SLP
- Enumeration Date
- May 22, 2007
- Last Updated
- Mar 1, 2017
Practice Location
- Address
- 12060 VALLEY VIEW ST
- Address 2
- SUITE 137
- City
- Garden Grove
- State
- California
- ZIP Code
- 92845
- Phone
- (714) 901-1518
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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