Provider Demographics
NPI:1861960429
Name:DARBY, DESIREE DELICHA (MA CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:DESIREE
Middle Name:DELICHA
Last Name:DARBY
Suffix:
Gender:F
Credentials:MA CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7114 SPANDRIL LN
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28215-7343
Mailing Address - Country:US
Mailing Address - Phone:862-238-3349
Mailing Address - Fax:
Practice Address - Street 1:7114 SPANDRIL LN
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28215-7343
Practice Address - Country:US
Practice Address - Phone:862-238-3349
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-11-12
Last Update Date:2025-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC30002715235Z00000X
SC6506235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty