Derix, Heather R.

Derix, Heather R. is an individual health care provider with primary practice located at 1450 E 10Th St , Rolla MO 65401-3648. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Derix, Heather R. can be contacted via phone (573) 364-7551.

Contact Information

Primary practice address
1450 E 10Th St Rolla MO 65401-3648
Phone: (573) 364-7551
Fax: (816) 318-3045
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 8291 Nebraska
Behavioral Health & Social Service Providers / Clinical 103TC0700X 2008034835 Missouri
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 2008019412 Missouri

Profile Details

NPI number 1811106644
LBN Legal business name Derix, Heather R.
Credentials PSY.D.
Entity Individual
Sole proprietor 1 No
Enumeration date May 21st, 2007
Last updated Jun 17th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811106644 NPPES
Nebraska MEDICAID 470798717-29
Nebraska Other 98534
Nebraska MEDICAID 470798717-27
Nebraska MEDICAID 470798717-26

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