Individual
DR. LINDA RUTH DERBES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4919 S MIAMI BLVD, DURHAM, NC 27703-8435
(919) 302-7812
Mailing address
4919 S MIAMI BLVD, DURHAM, NC 27703-8435
(919) 302-7812
Taxonomy
Speciality
Code
Description
License number
State
103TP0016X
Prescribing (Medical) Psychologist
Primary
G81106
CA
283Q00000X
Psychiatric Hospital
12523
HI
283Q00000X
Psychiatric Hospital
95-0012
NC
283Q00000X
Psychiatric Hospital
G81106
CA
Other
Enumeration date
06/06/2007
Last updated
10/01/2008
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