Derenard, Stacy
Derenard, Stacy is an individual health care provider with primary practice located at 12060 Valley View St Suite 137, Garden Grove CA 92845. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Derenard, Stacy can be contacted via phone (714) 901-1518.Contact Information
Primary practice address
12060 Valley View St Suite 137
Garden Grove CA 92845
Phone: (714) 901-1518
Fax: (714) 901-1359
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | SP 14604 | California |
Profile Details
| NPI number | 1427267608 |
|---|---|
| LBN Legal business name | Derenard, Stacy |
| Credentials | M.A., CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 22nd, 2007 |
| Last updated | Mar 1st, 2017 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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