Derreberry, Todd Michael

Derreberry, Todd Michael is an individual health care provider with primary practice located at 2554 Lewisville Clemmons Rd Ste 207 , Clemmons NC 27012-9752. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Geriatric Psychiatry, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Derreberry, Todd Michael can be contacted via phone (336) 223-8220.

Contact Information

Primary practice address
2554 Lewisville Clemmons Rd Ste 207 Clemmons NC 27012-9752
Phone: (336) 223-8220
Fax: (339) 207-0143
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Psychiatry 2084P0805X 25736 West Virginia
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 2015-00894 North Carolina
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 25736 West Virginia

Profile Details

NPI number 1295962066
LBN Legal business name Derreberry, Todd Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 18th, 2009
Last updated Jun 10th, 2020 - about 4 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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