Derbaum, Dennis Lee

Derbaum, Dennis Lee is an individual health care provider with primary practice located at 780 Lynnhaven Pkwy Suite 400 Atlantic Psychiatric Services, Virginia Beach VA 23452-7332. 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 / Addiction (Substance Use Disorder) is his primary health care specialty. Derbaum, Dennis Lee can be contacted via phone (757) 468-0550.

Contact Information

Primary practice address
780 Lynnhaven Pkwy Suite 400 Atlantic Psychiatric Services Virginia Beach VA 23452-7332
Phone: (757) 468-0550
Fax: (757) 468-9992
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X CSAC Virginia
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LCSW Virginia

Profile Details

NPI number 1558324137
LBN Legal business name Derbaum, Dennis Lee
Credentials LCSW CSAC
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2006
Last updated Jul 8th, 2007 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1558324137 NPPES
Virginia Other 86080M SENTARA OPTIMA
Virginia Other 183809 SENTARA OPTIMA

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