Individual
DR. DERECK DAVY PHRATHEP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
501 6TH AVE S, ST PETERSBURG, FL 33701-4634
(727) 767-4170
Mailing address
2725 59TH WAY N, ST PETERSBURG, FL 33710-3339
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
01/15/2025
Last updated
03/05/2025
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