Individual
DR. DERRON K.G. AMBROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
9048 ALTON ADAMS SR DR, ST. THOMAS, VI 00802
(340) 776-8311
Mailing address
PO BOX 600205, ST THOMAS, VI 00801-6205
(340) 776-8311
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY60949800
WA
103TC0700X
Clinical Psychologist
22-047-PSY
VI
103TC0700X
Clinical Psychologist
PY60949800
WA
Other
Enumeration date
06/21/2013
Last updated
03/26/2026
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