Individual
MR. DERRICK NEUBAUER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC,LPA
Contact information
Practice address
400 GALBRAITH AVE, KERRVILLE, TX 78028-4107
(830) 896-2211
Mailing address
400 GALBRAITH AVE, KERRVILLE, TX 78028-4107
(830) 896-2211
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
13163
TX
103T00000X
Psychologist
14606
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1479503-01
—
TX
Enumeration date
04/12/2007
Last updated
08/15/2008
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