Waller, Derica

Waller, Derica is an individual health care provider with primary practice located at 8089 S Lincoln St Suite 203, Littleton CO 80122-2700. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Waller, Derica can be contacted via phone (303) 915-5567.

Contact Information

Primary practice address
8089 S Lincoln St Suite 203 Littleton CO 80122-2700
Phone: (303) 915-5567
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 83 Colorado

Profile Details

NPI number 1033258769
LBN Legal business name Waller, Derica
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 6th, 2007
Last updated Jul 8th, 2007 - about 18 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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