MS. D CHARMAINE CAVE DERSHAM


Address: 127 Bloomingrove Drive, Troy, NY 12180
Phone: 5182834921

MS. D CHARMAINE CAVE DERSHAM (NPI# 1992942361) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1992942361
Entity Type Individual
Full Name MS. D CHARMAINE CAVE DERSHAM
Credential MS.ED. CCC-SLP
Practice Address 127 Bloomingrove Drive
Troy
NY 12180
Mailing Address 230 Washington Ave Ext
Albany
NY 12203
Practice Telephone 5182834921
Practice Fax Number 5186870375
Mailing Telephone 5184563268
Mailing Fax Number 5184641469
Enumeration Date 2009-01-07
Last Update Date 2020-06-06
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 235Z00000X Speech-Language Pathologist N.Y.007361 NY Speech, Language and Hearing Service Providers

Office Location

Street Address 127 BLOOMINGROVE DRIVE
City TROY
State NY
Zip Code 12180

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1104354315 Karen Lynm Vincent Licensed Practical Nurse 830 Hoosick Rd Apt 1, Troy, NY 12180 2017-06-01
1740728013 Upstate Physician Services, PC Specialist 2001 5th Avenue, Suite 110, Troy, NY 12180 2017-02-07
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1053760546 Linda Pierre Religious Nonmedical Nursing Personnel 1680 Tibbits Ave, Troy, NY 12180 2016-06-06
1518312925 Matthew Pittelli Student in an Organized Health Care Education/Training Program 83 Lockrow Rd, Troy, NY 12180 2016-05-04
1780045765 Tara Michelle Miller Hearing Instrument Specialist 2000 6th Avenue, Troy Towers, Bldg. B, 1st Floor, Troy, NY 12180 2016-03-17
1326410937 Seton Health System, Inc. Physician Assistant 1401 Massachusetts Avenue, Troy Internal Medicine, Troy, NY 12180 2015-10-22
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Taxonomy Information

Taxonomy Code 235Z00000X
Grouping Speech, Language and Hearing Service Providers
Classification Speech-Language Pathologist

Taxonomy 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.
Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1609480516 Now We're Talking Pllc Speech-Language Pathologist 3847 Kings Point Dr, Troy, MI 48083-5320 2020-09-08
1891308664 Theresa Ann Dahmer Speech-Language Pathologist 5105 Somerton Dr, Troy, MI 48085-3252 2020-08-31
1336770577 Bailey Shafer Speech-Language Pathologist 8294 Castle Ridge Dr, Troy, IL 62294-2860 2020-01-27
1629618236 Karly Marie Chasney Speech-Language Pathologist 205 W Square Lake Rd, Troy, MI 48098-2931 2020-01-11
1497300586 Jodi Niehoff Speech-Language Pathologist 1190 Old Cap Au Gris Rd, Troy, MO 63379-2300 2019-08-06
1548829039 Jill Nicole Elliott Speech-Language Pathologist 59 Harris Rd Apt 103, Troy, NY 12182-1644 2019-06-10
1902462310 Monica S Marciniak Speech-Language Pathologist 830 Kirts Blvd # 305, Troy, MI 48084-4892 2019-05-13
1205330941 Marcia Diane Exner Speech-Language Pathologist 5877 Livernois Rd Ste 101, Troy, MI 48098-3100 2018-03-19
1356843411 Elizabeth Mikolajczak Speech-Language Pathologist 3756 Forge Dr, Troy, MI 48083-5640 2018-03-05
1619483922 Lauren Williams Speech-Language Pathologist 174 Dogwood Ave, Troy, NC 27371-8528 2017-12-21
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Competitor

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City TROY
Zip Code 12180

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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