Kimberly B Derrickson in Baltimore - Clinical Child & Adolescent
Kimberly B Derrickson - NPI 1467522540
Kimberly B Derrickson is a Clinical Child & Adolescent in Baltimore, Maryland. Kimberly B Derrickson practices all healthcare services and medical treatments related to Clinical Child & Adolescent. The NPI Number for Kimberly B Derrickson is 1467522540. The last update date is 2007-07-08.
Kimberly B Derrickson's current location address is 1708 W Rogers Ave, Baltimore, Maryland. You can contact this provider via phone number 4105788600. The mailing address for Kimberly B Derrickson is 1708 W Rogers Ave, Baltimore, Maryland. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kimberly B Derrickson |
|---|---|
| Address | 1708 W Rogers Ave, Baltimore, Maryland |
| Phone Number | 4105788600 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1467522540 |
|---|---|
| Provider Enumeration Date | 2006-11-08 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1708 W Rogers Ave |
|---|---|
| City | Baltimore |
| State | Maryland (MD) |
| Post Code | 212094545 |
| Phone Number | 4105788600 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Child & Adolescent |
|---|---|
| Taxonomy | 103Tc2200X |
| Licence No | 3246 |
|
Definition: A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 199701700 | MD | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Kimberly B Derrickson by the Centers for Medicare & Medicaid Services?
The Kimberly B Derrickson has been assigned the NPI (National Provider Identifier) 1467522540. 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 location address where Kimberly B Derrickson's facilities are situated?
The facilities of Kimberly B Derrickson are physically located at the following address: 1708 W Rogers Ave, Baltimore, MD, 212094545.
What is Kimberly B Derrickson's area of expertise and its corresponding taxonomy classification?
The Kimberly B Derrickson's field of specialization is Clinical Child & Adolescent, and it falls under the taxonomy code 103Tc2200X, which categorizes healthcare providers based on their areas of practice.
On what date was the 1467522540 assigned to Kimberly B Derrickson?
The Kimberly B Derrickson was issued its 1467522540 on 2006-11-08, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Kimberly B Derrickson's details last updated?
The information pertaining to the Kimberly B Derrickson, including its address, specialty, and other details, was most recently updated on 2007-07-08.
NPI Number: 1972505162
Address: 1237 Salem Gate Drive, Conyers, GA