Dennis Lee Derbaum in Virginia Beach - Mental Health

Dennis Lee Derbaum - NPI 1558324137

Dennis Lee Derbaum is a Mental Health in Virginia Beach, Virginia. Dennis Lee Derbaum practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Dennis Lee Derbaum is 1558324137. The last update date is 2007-07-08.

Dennis Lee Derbaum's current location address is 780 Lynnhaven Pkwy, Virginia Beach, Virginia. You can contact this provider via phone number 7574680550 and fax number 7574689992. The mailing address for Dennis Lee Derbaum is 780 Lynnhaven Pkwy, Virginia Beach, Virginia. To know further, please read the information below!

Provider Profile Detail

Provider Name Dennis Lee Derbaum
Address 780 Lynnhaven Pkwy, Virginia Beach, Virginia
Phone Number 7574680550
Fax Number 7574689992
Sole Proprietor X
Credentials LCSW CSAC

NPI Number Detail

NPI Number 1558324137
Provider Enumeration Date 2006-04-06
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 780 Lynnhaven Pkwy
City Virginia Beach
State Virginia (VA)
Post Code 234527332
Phone Number 7574680550
Fax Number 7574689992

Provider's Primary Taxonomy Detail

Speciality Mental Health
Taxonomy 101Ym0800X
Licence No LCSW
Definition:
A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
86080M VA SENTARA OPTIMA
183809 VA ANTHEM PPO BCBS

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FAQs about Dennis Lee Derbaum

What is the Dennis Lee Derbaum's 1558324137?

The Dennis Lee Derbaum's NPI (National Provider Identifier) Number is 1558324137. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Dennis Lee Derbaum is physically located?

The Dennis Lee Derbaum is physically situated at the following address: 780 Lynnhaven Pkwy, Virginia Beach, VA, 234527332.

What is Dennis Lee Derbaum's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Dennis Lee Derbaum is Mental Health, and the taxonomy classification code that categorizes this area of expertise is 101Ym0800X.

On what date did the Dennis Lee Derbaum receive the assignment of its 1558324137 from the Centers for Medicare & Medicaid Services?

The Dennis Lee Derbaum was issued its 1558324137 by the Centers for Medicare & Medicaid Services on 2006-04-06.

When was the information regarding Dennis Lee Derbaum, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Dennis Lee Derbaum, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.

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