Derkowski, Cleta (Beth)
Derkowski, Cleta (Beth) is an individual health care provider with primary practice located at 1701 Pine Tree Rd , Longview TX 75604-1909. 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. Derkowski, Cleta (Beth) can be contacted via phone (903) 295-5170.Contact Information
Primary practice address
1701 Pine Tree Rd
Longview TX 75604-1909
Phone: (903) 295-5170
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 17167 | Texas |
Profile Details
| NPI number | 1316251812 |
|---|---|
| LBN Legal business name | Derkowski, Cleta (Beth) |
| Credentials | SLP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 27th, 2010 |
| Last updated | Jul 31st, 2023 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1316251812 | NPPES |
| Texas | MEDICAID | 149984001 |
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