Kiser, Derrick C

Kiser, Derrick C is an sole proprietor health care provider with primary practice located at 203 East St , Easthampton MA 01027-1234. He recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / School, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Kiser, Derrick C can be contacted via phone (774) 823-5744.

Contact Information

Primary practice address
203 East St Easthampton MA 01027-1234
Phone: (774) 823-5744
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Professional 101YP2500X
Behavioral Health & Social Service Providers / School 101YS0200X
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X S56441418 Massachusetts

Profile Details

NPI number 1881930758
LBN Legal business name Kiser, Derrick C
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 21st, 2012
Last updated Dec 21st, 2012 - about 12 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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