Daniel Deroche
Individual provider Active NPI Speech-Language Pathologist · Marquette, MI
NPI 1861996019 · NPPES record last updated Mar 22, 2018
Key facts
- NPI
- 1861996019
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- Practice address
- 555 County Road HQ
Marquette, MI 49855-8855 - Phone
- (906) 225-5044
- NPI assigned
- Mar 22, 2018
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Yes |
Addresses
Primary practice location
555 County Road HQ
Marquette, MI 49855-8855
Mailing address
555 County Road HQ
Marquette, MI 49855-8855
Other providers in Marquette, MI
- Kayla Marie Dennis
- Dental Associates of Marquette PLLP
- Emily Elizabeth Depetro
- Kristen A Deprey
- Samone L. Derks
- Allison Marie Derouin
- Ed Deyo
- Prakash R Dhadphale
- Natalie F Dhamers
- Amardeep Singh Dhugga
All providers in Marquette, 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 Mar 22, 2018. 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.