Individual
DERRICK MEYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD, BA
Contact information
Practice address
1450 E 10TH ST, ROLLA, MO 65401-3648
(844) 853-8937
Mailing address
1800 COMMUNITY, CLINTON, MO 64735-8804
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
2021041438
MO
103T00000X
Psychologist
Primary
2021048007
MO
Other
Enumeration date
11/04/2021
Last updated
09/21/2022
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