Ambrose, Derron K.G.

Ambrose, Derron K.G. is an individual health care provider with primary practice located at 6115 Estate Smith Bay Unit 5 , St Thomas VI 00802-1330. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is his primary health care specialty. Ambrose, Derron K.G. can be contacted via phone (340) 714-2348.

Contact Information

Primary practice address
6115 Estate Smith Bay Unit 5 St Thomas VI 00802-1330
Phone: (340) 714-2348
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PY60949800 Washington
Behavioral Health & Social Service Providers / Clinical 103TC0700X 22-047-PSY Virgin Islands
Behavioral Health & Social Service Providers / Psychologist 103T00000X PY60949800 Washington

Profile Details

NPI number 1164861233
LBN Legal business name Ambrose, Derron K.G.
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2013
Last updated Sep 21st, 2022 - about 3 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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