Dervin, Katherine
Dervin, Katherine is an individual health care provider with primary practice located at 12000 Kennedy Ln Suite 100, Fredericksburg VA 22407-6016. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Dervin, Katherine can be contacted via phone (540) 548-2063.Contact Information
Primary practice address
12000 Kennedy Ln Suite 100
Fredericksburg VA 22407-6016
Phone: (540) 548-2063
Fax: (540) 548-2962
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 0904000016 | Virginia |
Profile Details
| NPI number | 1003860834 |
|---|---|
| LBN Legal business name | Dervin, Katherine |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 19th, 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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