Active NPIIndividual providerSole proprietor

Mr. Sandy J Derris, CCC-SLP

Speech-Language Pathologist, in Marlboro, New Jersey

NPI Number1972756039
Practice location
88 Ottowa RD S, Marlboro, NJ 07746-1246
Fax
—
Last updated
November 2, 2008

Sandy J Derris is a Speech-Language Pathologist, based in Marlboro, NJ. Sandy J Derris practices in Marlboro, NJ and has the professional credentials of CCC-SLP. The NPI Number for Sandy J Derris is 1972756039 and holds a License No. 001325-1 (NY). The current practice location address for Sandy J Derris is 88 Ottowa RD S, Marlboro, NJ 07746-1246 and can be reached out via phone at 732-617-9142.

Provider Profile Details

NPI Number
1972756039
Provider Name
Sandy J Derris
Credential
CCC-SLP
Provider Entity Type
Individual
Gender
Male
Address
88 Ottowa RD S, Marlboro, NJ 07746-1246
Phone Number
732-617-9142
Primary Taxonomy
Speech-Language Pathologist, · 235Z00000X
Sole Proprietor
Yes
Provider Enumeration Date
November 2, 2008
Last Update Date
November 2, 2008
NPI Status
Active

Provider Business Practice Location Address Details

Address
88 Ottowa RD S
Marlboro, NJ 07746-1246
Zip
07746-1246
Phone Number
732-617-9142
Marlboro, NJ 07746Get directions →

Provider Business Mailing Address Details

Address
88 Ottowa RD S
Marlboro, NJ 07746-1246
City
Marlboro
State
NJ
Zip
07746-1246

License Information

License Number
001325-1
License State
NY
Taxonomy
Speech-Language Pathologist, · 235Z00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mr. Sandy J Derris, CCC-SLP?

The NPI number of Mr. Sandy J Derris, CCC-SLP is 1972756039. It was assigned on November 2, 2008 and is currently active in the NPPES registry.

What is the specialty of Mr. Sandy J Derris, CCC-SLP?

Mr. Sandy J Derris, CCC-SLP is registered under the primary taxonomy Speech-Language Pathologist, (code 235Z00000X), licensed in NY under license number 001325-1.

Where does Mr. Sandy J Derris, CCC-SLP practice?

The practice location is 88 Ottowa RD S, Marlboro, NJ 07746-1246. The office can be reached at 732-617-9142 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1972756039 directly on the NPPES registry website.

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