Teresa M Derouin, MS

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

Harbor Speech Pathology
463 Tremont St W Suite 110
Port Orchard, WA 98366

Phone

(253) 855-0007

NPI assigned

Sep 30, 2020

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1601424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601424000000",
    "number": "1003423302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5202 OLYMPIC DR STE 100",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983351727",
            "telephone_number": "253-855-0007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HARBOR SPEECH PATHOLOGY",
            "address_2": "463 TREMONT ST W SUITE 110",
            "city": "PORT ORCHARD",
            "state": "WA",
            "postal_code": "98366",
            "telephone_number": "253-855-0007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEROUIN",
        "first_name": "TERESA",
        "middle_name": "M",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-30",
        "last_updated": "2020-09-30",
        "certification_date": "2020-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pil-Chung Delcampo, M.D.
• Shannon Eleanor Delnero, D.C.
• Jeanne Lynn Demeulenaere, BA MPT
• Angelique Chantel Demoncada, PHD, MS, MSCP
• Yawen Deng
• Cameron Devitt, FNP-BC
• Daniel Eldredge Diamond, M.D.
• Christina Marie Diefel, CDPT
• Annette Diehl, LMHC
• Kelly Dirks, RN

• Speech-Language Pathologist in Port Orchard, WA
• Providers in Port Orchard, WA by specialty
• Speech-Language Pathologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.