Mary Ann Derkacz
Individual provider Active NPI Speech-Language Pathologist · Beverly Hills, MI
NPI 1609319573 · NPPES record last updated Aug 28, 2019
Key facts
- NPI
- 1609319573
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- Practice address
- 31815 Southfield Rd Ste 15
Beverly Hills, MI 48025-5471 - Phone
- (248) 885-8240
- NPI assigned
- Nov 28, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Small Talk Centers PLLC | Speech-Language Pathologist | Current |
Accepting new patients |
Locations
31815 Southfield Rd
Ste 15
Beverly Hills, MI 48025
Phone (248) 855-8240
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Yes |
Addresses
Primary practice location
31815 Southfield Rd Ste 15
Beverly Hills, MI 48025-5471
Mailing address
29846 Pleasant TRL
Southfield, MI 48076-5719
Phone (248) 890-0270
Other providers in Beverly Hills, MI
- Eapen Kappammoottil Cherian
- Ross Justin Cooper
- Paul Darmon
- Erik Dawson
- Jose Andoy Dela Paz
- Francine M Dietsh-Misch
- Gary Wolk Docks
- Diane Louise Dolinshek
- George Doskoris
- Michelle Renee Egan
All providers in Beverly Hills, MI · Speech-Language Pathologist in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 28, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.