Jamie C. Derrick is a Psychologist in Moscow, Idaho. Jamie C. Derrick practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Jamie C. Derrick is 1871792697. The last update date is 2014-01-03.
Jamie C. Derrick's current location address is 875 Perimeter Dr, Moscow, Idaho. You can contact this provider via phone number 2088855057. The mailing address for Jamie C. Derrick is 875 Perimeter Dr, Moscow, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jamie C. Derrick |
|---|---|
| Address | 875 Perimeter Dr, Moscow, Idaho |
| Phone Number | 2088855057 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1871792697 |
|---|---|
| Provider Enumeration Date | 2007-07-12 |
| Last Updated Date | 2014-01-03 |
Provider Mailing Address Detail
| Address | 875 Perimeter Dr |
|---|---|
| City | Moscow |
| State | Idaho (ID) |
| Post Code | 838443043 |
| Phone Number | 2088855057 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | PSY325 |
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Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce |
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Post Comment/ Review Below
What is the Jamie C. Derrick's 1871792697?
The Jamie C. Derrick's NPI (National Provider Identifier) Number is 1871792697. 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 physical location address of Jamie C. Derrick?
The Jamie C. Derrick is physically situated at 875 Perimeter Dr, in the city of Moscow, state of ID, with the postal code 838443043.
What is Jamie C. Derrick'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 Jamie C. Derrick is Psychologist, and the taxonomy classification code that categorizes this area of expertise is 103T00000X.
When did the Jamie C. Derrick receive its 1871792697?
The Jamie C. Derrick was issued its 1871792697 on 2007-07-12, which is the date when the organization was assigned this unique identifier.
As of what date were the Jamie C. Derrick's details last updated?
The information pertaining to the Jamie C. Derrick, including its address, specialty, and other details, was most recently updated on 2014-01-03.
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