Derry, Julia L

Derry, Julia L is an individual health care provider with primary practice located at 1485 S M-139 , Benton Harbor MI 49022. She recently has only one registered license in Behavioral Health & Social Service Providers / Cognitive & Behavioral, which is considered as her primary health care specialty. Derry, Julia L can be contacted via phone (269) 925-0585.

Contact Information

Primary practice address
1485 S M-139 Benton Harbor MI 49022
Fax: (269) 927-1326
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X 6301008191 Michigan

Profile Details

NPI number 1922298991
LBN Legal business name Derry, Julia L
Credentials LLP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2007
Last updated Mar 21st, 2014 - about 10 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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