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

Miss. Katie Derkacz, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1699570903

Miss. Katie Derkacz, CCC-SLP is a Speech-Language Pathologist in West Bloomfield, Michigan. Licensed in Michigan. Registered with an NPI since 2025.

Licensed in
MI
In the registry since
2025
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

6777 W Maple Rd Speech Language Pathology Dept
West Bloomfield, MI 48322-3013
Phone: (248) 661-7241
Fax: (248) 325-0074
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 7101008382 (MI)

Record details

NPI number1699570903
Entity typeIndividual (Type 1)
GenderFemale
Credentials CCC-SLP
Sole proprietorNo
NPI enumeratedFebruary 19, 2025
Last updated in NPPESFebruary 19, 2025
Certification dateFebruary 19, 2025

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