DERRICK EDWARD GLASSMAN CCC-SLP
NPI 1053089185
Speech-Language Pathologist in Kelso, WA

Active since September 02, 2021
2000 ALLEN ST, KELSO, WA 98626(360) 501-1750(360) 501-1782 Get Directions Write a Review

NPPES record last updated: September 2, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Derrick Edward Glassman Ccc-slp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DERRICK EDWARD GLASSMAN CCC-SLP (NPI 1053089185) is an individual speech-language pathologist provider in Kelso, Washington, licensed in Washington (LL60938429) and active in the NPI registry since September 2021.

NPPES Registry Identity

NPI1053089185
Entity TypeIndividualMale
Primary Taxonomy235Z00000X
Provider Legal NameDERRICK EDWARD GLASSMANCredential: CCC-SLP
Location Address2000 ALLEN STKelso, WA 98626-5002
Mailing Address2000 Allen StKelso, WA 98626-5002 · (360) 501-1750 · Fax (360) 501-1782
Fax(360) 501-1782
Sole ProprietorNo
Enumeration DateSeptember 2, 2021
NPPES CertifiedSeptember 2, 2021
NPI 1053089185 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License Licensed in WA · LL60938429
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
2000 ALLEN ST, Kelso, WA 98626

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Local Education Agency (LEA)
2000 ALLEN ST
KELSO, WA 98626
Occupational Therapist
2000 ALLEN ST
KELSO, WA 98626

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Derrick Glassman's NPI number?

The NPI number for Derrick Glassman is 1053089185. It was assigned to this individual provider in the NPPES registry on September 2, 2021.

Where is Derrick Glassman located?

Derrick Glassman practices at 2000 Allen St, Kelso, WA 98626. The listed phone number is (360) 501-1750.

What is Derrick Glassman's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

When was this NPI record last updated?

The NPPES record for Derrick Glassman was last updated on September 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.