Weintraub, Derek Logan
Weintraub, Derek Logan is an individual health care provider with primary practice located at 1910 82Nd Ave Ste 106 , Vero Beach FL 32966-6991. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Weintraub, Derek Logan can be contacted via phone (772) 492-9841.Contact Information
Primary practice address
1910 82Nd Ave Ste 106
Vero Beach FL 32966-6991
Phone: (772) 492-9841
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | ||
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X |
Profile Details
| NPI number | 1871968156 |
|---|---|
| LBN Legal business name | Weintraub, Derek Logan |
| Credentials | M.S., C.P.C. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 11th, 2015 |
| Last updated | Jun 21st, 2019 - about 7 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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