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Individual

DR. COURTNEY DERICO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PSY.D.

Contact information

Practice address
8704 S SEPULVEDA BLVD # 1076, WESTCHESTER, CA 90045-4004
(334) 220-0200
Mailing address
8704 S SEPULVEDA BLVD # 1076, WESTCHESTER, CA 90045-4004
(334) 220-0200

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
103T00000X
Psychologist
103TC0700X
Clinical Psychologist
Primary
35601
CA
171M00000X
Case Manager/Care Coordinator
174400000X
Specialist
35601
CA
225C00000X
Rehabilitation Counselor

Other

Enumeration date
11/17/2015
Last updated
01/24/2025
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