Diane E Deroos, SLP | |
182 North St, Auburn, NY 13021-1811 | |
(315) 255-2746 | |
(315) 255-2740 |
Full Name | Diane E Deroos |
---|---|
Gender | Female |
Speciality | Speech-language Pathologist |
Location | 182 North St, Auburn, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063447142 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | 004387 (New York) | Primary |
Provider Name | State Of New York Comptrollers Office |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1750469912 PECOS PAC ID: 0840101770 Enrollment ID: O20190313000800 |
Mailing Address | Practice Location Address |
---|---|
Diane E Deroos, SLP 182 North St, Auburn, NY 13021-1811 Ph: (315) 255-2746 | Diane E Deroos, SLP 182 North St, Auburn, NY 13021-1811 Ph: (315) 255-2746 |
Andrea F Perkins, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 182 North St, Auburn, NY 13021 Phone: 315-255-2746 Fax: 315-255-2740 | |
Maria Staehr, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 78 Thornton Ave, Auburn, NY 13021 Phone: 315-255-8800 | |
Kelly Fandrich, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 101 Pulaski St, Auburn, NY 13021 Phone: 315-255-8760 | |
Patricia Q Cleaver, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 182 North St, Auburn, NY 13021 Phone: 315-255-2746 Fax: 315-255-2740 | |
Andrea Jane Spencer, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 177 Washington St, Auburn, NY 13021 Phone: 315-730-5747 | |
Nancy L Damalt, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 182 North St, Auburn, NY 13021 Phone: 310-525-5274 Fax: 315-255-2740 |