Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Derek Headley, MSCCC-SLP

Individual provider Speech-Language Pathologist · NPI 1679708358

Derek Headley, MSCCC-SLP is a Speech-Language Pathologist in Wilton Manors, Florida. Licensed in Idaho, North Carolina and West Virginia. Registered with an NPI since 2009.

Licensed in
ID, NC, WV
In the registry since
2009
Specialties on file
3

Practice location Address checks out

2704 NE 8th Ave
Wilton Manors, FL 33334
Phone: (954) 218-2184
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 2910 (ID)
Speech-Language Pathologist Taxonomy 235Z00000X · Licence 10739 (NC)
Speech-Language Pathologist Taxonomy 235Z00000X · Licence 1789 (WV)

Record details

NPI number1679708358
Entity typeIndividual (Type 1)
GenderMale
Credentials MSCCC-SLP
Sole proprietorNo
NPI enumeratedMay 24, 2009
Last updated in NPPESAugust 1, 2018
Mailing address2704 Ne 8th Ave, Wilton Manors, FL 33334-2654

Other providers in Wilton Manors