Derelique Holdings

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

DERELIQUE HOLDINGS

Doing business as

Fine Tune Speech Therapy

Practice address

10306 Pensive Dr
Dallas, TX 75229-5826

Phone

(469) 755-8864

NPI assigned

Jun 13, 2024

Last updated

Jun 13, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kimberly Schuster, M.SNPI 1265099410

Title

Speech-Language Pathologist

Phone

(469) 755-8864

Specialties & licenses 1

Addresses

Other names 1

• Fine Tune Speech Therapy Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kimberly Schuster

  • Speech-Language Pathologist
  • Dallas, TX
  • NPI 1265099410
  NPD Authorized official

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

{
    "created_epoch": "1718236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718236800000",
    "number": "1902649437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10306 PENSIVE DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752295826",
            "telephone_number": "469-755-8864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10306 PENSIVE DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752295826",
            "telephone_number": "469-755-8864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERELIQUE HOLDINGS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-13",
        "last_updated": "2024-06-13",
        "certification_date": "2024-06-13",
        "status": "A",
        "authorized_official_last_name": "SCHUSTER",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "469-755-8864",
        "authorized_official_credential": "M.S"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fine Tune Speech Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dhvani Derasari
• Jerusalem Desalgn Derbew
• Courtney Kowalczyk Derderian, MD
• Leslie John Derdeyn, MD
• Beimnet Mamo Dereje
• Deri M Lewis MD PA
• Derik K. King MD (Eci HP E-Health (Ca)), Inc.
• Eric Derk
• Richard Brian Derksen, DMD
• Derm Texas LLC

• Speech-Language Pathologist in Dallas, TX
• Providers in Dallas, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2024; 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.