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

Derrick Edward Glassman, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1053089185

Derrick Edward Glassman, CCC-SLP is a Speech-Language Pathologist in Kelso, Washington. Licensed in Washington. Registered with an NPI since 2021.

Licensed in
WA
In the registry since
2021
What do these letters mean?
CCC-SLP — Certificate of Clinical Competence in Speech-Language Pathology
A speech-language pathologist certified by ASHA.

See every abbreviation used in this directory →

Practice location Address checks out

2000 Allen St
Kelso, WA 98626-5002
Phone: (360) 501-1750
Fax: (360) 501-1782
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 LL60938429 (WA)

Record details

NPI number1053089185
Entity typeIndividual (Type 1)
GenderMale
Credentials CCC-SLP
Sole proprietorNo
NPI enumeratedSeptember 2, 2021
Last updated in NPPESSeptember 2, 2021
Certification dateSeptember 2, 2021

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