Mrs Jacqueline Dorothy Derby, MS, CF-SLP is a
Speech-language Pathologist based in Brigantine, New Jersey. Mrs Jacqueline Dorothy Derby is licensed to practice in New Jersey (license number TL-1968) and her current practice location is
1000 E Evans Blvd, Apt B, Brigantine, New Jersey. She can be reached at her office (for appointments etc.) via phone at
(603) 944-7012.
NPI number for Mrs Jacqueline Dorothy Derby is 1881981496 and her current mailing address is 1000 E Evans Blvd, Apt B, Brigantine, New Jersey. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1881981496.
Healthcare Provider's Profile
| Full Name | Mrs Jacqueline Dorothy Derby |
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| Gender | Female |
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| Speciality | Speech-language Pathologist |
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| Location | 1000 E Evans Blvd, Brigantine, New Jersey |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1881981496
- Provider Enumeration Date: 07/03/2011
- Last Update Date: 07/03/2011
Medical Identifiers
Medical identifiers for Mrs Jacqueline Dorothy Derby such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1881981496 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 235Z00000X | Speech-language Pathologist | TL-1968 (New Jersey) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Jacqueline Dorothy Derby is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mrs Jacqueline Dorothy Derby, MS, CF-SLP
1000 E Evans Blvd, Apt B,
Brigantine, NJ 08203-3258
Ph: (603) 944-7012 | Mrs Jacqueline Dorothy Derby, MS, CF-SLP
1000 E Evans Blvd, Apt B,
Brigantine, NJ 08203-3258
Ph: (603) 944-7012 |
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