MS. DEVAN DERENZIS M.A.,CCC-SLP - NPI 1629525084

Q: What is Devan Derenzis's NPI number?

The NPI number for Devan Derenzis is 1629525084. It was assigned to this individual provider in the NPPES registry on September 2, 2016.

Q: What is Devan Derenzis's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: When was this NPI record last updated?

The NPPES record for Devan Derenzis was last updated on September 2, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Ms. Devan Derenzis M.a.,ccc-slp NPPES

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

MS. DEVAN DERENZIS M.A.,CCC-SLP (NPI 1629525084) is an individual specialist in New York, New York, licensed in New York (025154) and active in the NPI registry since September 2016.

NPPES Registry Identity

NPI1629525084

Entity TypeIndividualFemale

Primary Taxonomy174400000X

Provider Legal NameMS. DEVAN DERENZISCredential: M.A.,CCC-SLP

Location Address116 W 32ND ST FL 8New York, NY 10001-3212

Mailing Address45 Carmel Ct Apt 9bStaten Island, NY 10304-4229 · (917) 587-5266

Phone(212) 564-2350

Sole ProprietorYes

Enumeration DateSeptember 2, 2016

✔ NPI 1629525084 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in NY · 025154

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

116 W 32ND ST FL 8, New York, NY 10001

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Other Identifiers 1

Medicaid0623NY

Other Providers at the Same Location NPPES 20

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

ALYSSA GENNA

Registered Nurse