Glenn L Derrick is a Clinical in Southgate, Michigan. Glenn L Derrick practices all healthcare services and medical treatments related to Clinical. The NPI Number for Glenn L Derrick is 1922124650. The last update date is 2007-07-08.
Glenn L Derrick's current location address is 13101 Allen Rd, Southgate, Michigan. You can contact this provider via phone number 7347857703 and fax number 7347857733. The mailing address for Glenn L Derrick is 13101 Allen Rd, Southgate, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Glenn L Derrick |
|---|---|
| Address | 13101 Allen Rd, Southgate, Michigan |
| Phone Number | 7347857703 |
| Fax Number | 7347857733 |
| Sole Proprietor | Y |
| Credentials | M.A., L.L. |
NPI Number Detail
| NPI Number | 1922124650 |
|---|---|
| Provider Enumeration Date | 2007-03-22 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 13101 Allen Rd |
|---|---|
| City | Southgate |
| State | Michigan (MI) |
| Post Code | 481952216 |
| Phone Number | 7347857703 |
| Fax Number | 7347857733 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 6301012756 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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Post Comment/ Review Below
What is the unique identifier code issued to Glenn L Derrick by the Centers for Medicare & Medicaid Services?
The Glenn L Derrick has been assigned the NPI (National Provider Identifier) 1922124650. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Glenn L Derrick is geographically located?
The Glenn L Derrick is physically situated at the following location: 13101 Allen Rd, Southgate, MI, 481952216.
What is Glenn L Derrick's specialized field of practice, and what is the corresponding taxonomy classification code?
The Glenn L Derrick's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 103Tc0700X.
When was the Glenn L Derrick's 1922124650 issued?
The Glenn L Derrick's 1922124650 was issued on 2007-03-22.
As of what date were the details related to Glenn L Derrick most recently updated or revised?
The information pertaining to Glenn L Derrick, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
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