Underwood, Derek

Underwood, Derek is an individual health care provider with primary practice located at 407 S 17Th Ave , Yakima WA 98902-3803. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Underwood, Derek can be contacted via phone (503) 388-6990.

Contact Information

Primary practice address
407 S 17Th Ave Yakima WA 98902-3803
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X RC00056627 Washington

Profile Details

NPI number 1538219928
LBN Legal business name Underwood, Derek
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 10th, 2007
Last updated Feb 11th, 2008 - 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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