Derrick, Jamie C.

Derrick, Jamie C. is an sole proprietor health care provider with primary practice located at 875 Perimeter Dr Dept. Of Psychology, University Of Idaho, Ms 3043, Moscow ID 83844-9803. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Derrick, Jamie C. can be contacted via phone (208) 885-5057.

Contact Information

Primary practice address
875 Perimeter Dr Dept. Of Psychology, University Of Idaho, Ms 3043 Moscow ID 83844-9803
Phone: (208) 885-5057
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X PSY325 Idaho
Behavioral Health & Social Service Providers / Psychologist 103T00000X PSY14487 California

Profile Details

NPI number 1871792697
LBN Legal business name Derrick, Jamie C.
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 12th, 2007
Last updated Jan 3rd, 2014 - about 12 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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