| Mr Clifton James Derome, | |
|
1267 W Deer Haven Dr, Portland, IN 47371-8381 | |
| (260) 726-7394 | |
| (260) 726-2941 |
| Full Name | Mr Clifton James Derome |
|---|---|
| Gender | Male |
| Speciality | Speech-language Pathologist |
| Location | 1267 W Deer Haven Dr, Portland, Indiana |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356399166 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 22003469A (Indiana) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Clifton James Derome, 1267 W Deer Haven Dr, Portland, IN 47371-8381 Ph: (260) 726-7394 | Mr Clifton James Derome, 1267 W Deer Haven Dr, Portland, IN 47371-8381 Ph: (260) 726-7394 |
Jeanne K Mcmillan Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 7270 E 300 N, Portland, IN 47371 Phone: 765-285-8176 | |
Lindsey Peterson, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 601 W Main St, Portland, IN 47371 Phone: 260-703-0267 |