Moody, Derick W

Moody, Derick W is an individual health care provider with primary practice located at 672 W 400 S Ste 201 , Springville UT 84663-3170. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is his primary health care specialty. Moody, Derick W can be contacted via phone (801) 369-8989.

Contact Information

Primary practice address
672 W 400 S Ste 201 Springville UT 84663-3170
Phone: (801) 369-8989
Fax: (801) 704-9741
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 364SP0808X 8820342-1206 Utah
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 8820342-1206 Utah

Profile Details

NPI number 1235551409
LBN Legal business name Moody, Derick W
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 7th, 2014
Last updated Sep 7th, 2023 - about last year

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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