Individual
DR. JANE E DERK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
3400 W 16TH STREET, BLDG 5 STE YY, GREELEY, CO 80634
(970) 351-6406
(970) 336-0937
Mailing address
3400 W 16TH STREET, BLDG 5 STE YY, GREELEY, CO 80634
(970) 351-6406
(970) 336-0937
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1108
CO
Other
Enumeration date
01/30/2007
Last updated
07/08/2007
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