Individual
MRS. BETHANY JOEL DERHODES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2222 PHILADELPHIA DR, SUITE 4505, DAYTON, OH 45406-1813
(937) 734-4363
(937) 734-4181
Mailing address
446 MORGAN ST, CINCINNATI, OH 45206-2348
(513) 834-7063
(513) 873-1567
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
35.088279
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0064055
—
OH
Enumeration date
09/13/2006
Last updated
03/17/2018
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