Sean P Derry is a Professional in Prescott, Arizona. Sean P Derry practices all healthcare services and medical treatments related to Professional. The NPI Number for Sean P Derry is 1659353720. The last update date is 2007-07-08.
Sean P Derry's current location address is 642 Dameron Dr, Prescott, Arizona. You can contact this provider via phone number 9284455211 and fax number 9287768484. The mailing address for Sean P Derry is 642 Dameron Dr, Prescott, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Sean P Derry |
|---|---|
| Address | 642 Dameron Dr, Prescott, Arizona |
| Phone Number | 9284455211 |
| Fax Number | 9287768484 |
| Sole Proprietor | X |
| Credentials | LPC |
NPI Number Detail
| NPI Number | 1659353720 |
|---|---|
| Provider Enumeration Date | 2005-11-15 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 642 Dameron Dr |
|---|---|
| City | Prescott |
| State | Arizona (AZ) |
| Post Code | 863012411 |
| Phone Number | 9284455211 |
| Fax Number | 9287768484 |
Provider's Primary Taxonomy Detail
| Speciality | Professional |
|---|---|
| Taxonomy | 101Yp2500X |
| Licence No | LPC10204 |
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Definition: A general counselor who helps people with personal, social, educational, and career issues. |
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Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Sean P Derry by the Centers for Medicare & Medicaid Services?
The Sean P Derry has been assigned the NPI (National Provider Identifier) 1659353720 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete address where Sean P Derry is physically located?
The Sean P Derry is situated at the following address: 642 Dameron Dr, Prescott, AZ 863012411.
What is Sean P Derry's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Sean P Derry's specialized field of practice is Professional, and the corresponding taxonomy code that categorizes this area of specialization is 101Yp2500X.
On what date did Sean P Derry receive its 1659353720 assignment from the Centers for Medicare & Medicaid Services?
The Sean P Derry was assigned its 1659353720 on 2005-11-15, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Sean P Derry, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Sean P Derry, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.