Mcglothern, Derriea

Mcglothern, Derriea is an individual health care provider with primary practice located at 23126 Rider St , Perris CA 92570. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Specialist/Technologist, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Mcglothern, Derriea can be contacted via phone (909) 239-3957.

Contact Information

Primary practice address
23126 Rider St Perris CA 92570
Phone: (909) 239-3957
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Specialist/Technologist 225500000X
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X California

Profile Details

NPI number 1659861185
LBN Legal business name Mcglothern, Derriea
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2018
Last updated Apr 2nd, 2020 - about 6 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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