Kenneth Mark Derby in Spokane - Cognitive & Behavioral
Kenneth Mark Derby - NPI 1679611420
Kenneth Mark Derby is a Cognitive & Behavioral in Spokane, Washington. Kenneth Mark Derby practices all healthcare services and medical treatments related to Cognitive & Behavioral. The NPI Number for Kenneth Mark Derby is 1679611420. The last update date is 2007-07-08.
Kenneth Mark Derby's current location address is 1124 E 35th Ave, Spokane, Washington. You can contact this provider via phone number 5097477460 and fax number 5093235965. The mailing address for Kenneth Mark Derby is 1124 E 35th Ave, Spokane, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenneth Mark Derby |
|---|---|
| Address | 1124 E 35th Ave, Spokane, Washington |
| Phone Number | 5097477460 |
| Fax Number | 5093235965 |
| Sole Proprietor | N |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1679611420 |
|---|---|
| Provider Enumeration Date | 2007-02-02 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1124 E 35th Ave |
|---|---|
| City | Spokane |
| State | Washington (WA) |
| Post Code | 992033168 |
| Phone Number | 5097477460 |
| Fax Number | 5093235965 |
Provider's Primary Taxonomy Detail
| Speciality | Cognitive & Behavioral |
|---|---|
| Taxonomy | 103Tb0200X |
| Licence No | 2204 |
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Definition: A psychologist who reflects an experimental-clinical approach distinguished by use of principles of human learning and development and theories of cognitive processing to promote meaningful change in maladaptive human behavior and thinking. |
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What is the Kenneth Mark Derby's 1679611420?
The Kenneth Mark Derby's NPI (National Provider Identifier) Number is 1679611420. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Kenneth Mark Derby?
The Kenneth Mark Derby is situated at 1124 E 35Th Ave, in the city of Spokane, state of WA, with the zip code 992033168.
What is the Kenneth Mark Derby's area of specialization and corresponding taxonomy classification?
The Kenneth Mark Derby's specialty field is Cognitive & Behavioral, and it falls under the taxonomy code 103Tb0200X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1679611420 to Kenneth Mark Derby?
The Centers for Medicare & Medicaid Services assigned the 1679611420 to Kenneth Mark Derby on 2007-02-02.
When was the information regarding Kenneth Mark Derby, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Kenneth Mark Derby, 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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