Most Relevant Information
Provider Data
| NPI Number: | 1003423302 |
| Provider Name: | TERESA M DEROUIN MS |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/30/2020 |
| Last Updated: | 09/30/2020 |
Provider Practice Location
HARBOR SPEECH PATHOLOGY
463 TREMONT ST W SUITE 110
PORT ORCHARD
WA
98366
Practice Location Phone/Fax
| Phone: | 2538550007 |
| Fax: |
Provider Mailing Location
5202 OLYMPIC DR STE 100
GIG HARBOR
WA
983351727
Provider Mailing Phone/Fax
| Phone: | 2538550007 |
| Fax: |