Derrick Lavon Hightower in Taylors - Clinical Child & Adolescent

Derrick Lavon Hightower - NPI 1134158090

Derrick Lavon Hightower is a Clinical Child & Adolescent in Taylors, South Carolina. Derrick Lavon Hightower practices all healthcare services and medical treatments related to Clinical Child & Adolescent. The NPI Number for Derrick Lavon Hightower is 1134158090. The last update date is 2012-02-06.

Derrick Lavon Hightower's current location address is 113 Bitternut Ln, Taylors, South Carolina. You can contact this provider via phone number 8642306479 and fax number 8645787176. The mailing address for Derrick Lavon Hightower is 113 Bitternut Ln, Taylors, South Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Name Derrick Lavon Hightower
Address 113 Bitternut Ln, Taylors, South Carolina
Phone Number 8642306479
Fax Number 8645787176
Sole Proprietor N
Credentials LPCI

NPI Number Detail

NPI Number 1134158090
Provider Enumeration Date 2006-07-02
Last Updated Date 2012-02-06

Provider Mailing Address Detail

Address 113 Bitternut Ln
City Taylors
State South Carolina (SC)
Post Code 296875865
Phone Number 8642306479
Fax Number 8645787176

Provider's Primary Taxonomy Detail

Speciality Clinical Child & Adolescent
Taxonomy 103Tc2200X
Licence No 4714
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

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FAQs about Derrick Lavon Hightower

What is the Derrick Lavon Hightower's unique identification number?

The Derrick Lavon Hightower has been assigned the NPI (National Provider Identifier) Number 1134158090 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you provide the complete physical address where Derrick Lavon Hightower is located?

The Derrick Lavon Hightower is situated at the following address: 113 Bitternut Ln, Taylors, SC, 296875865.

What is Derrick Lavon Hightower's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Derrick Lavon Hightower is Clinical Child & Adolescent, and the corresponding taxonomy classification code for this specialized field is 103Tc2200X.

On what date did the Derrick Lavon Hightower receive its 1134158090 assignment from the Centers for Medicare & Medicaid Services?

The Derrick Lavon Hightower was assigned its 1134158090 by the Centers for Medicare & Medicaid Services on 2006-07-02.

When was the information regarding Derrick Lavon Hightower, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Derrick Lavon Hightower, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2012-02-06.

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