Individual
DR. DERICK C SCOVEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
10000 NE 7TH AVE STE 215, VANCOUVER, WA 98685-4542
(360) 574-9565
(360) 574-9685
Mailing address
2400 MAIN ST, VANCOUVER, WA 98660-2663
(360) 574-9565
(360) 574-9685
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
2711
OR
103TC0700X
Clinical Psychologist
Primary
PY2484
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8352320
—
WA
Enumeration date
08/31/2006
Last updated
08/25/2020
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