Individual
MICHELLE DERKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CERTIFICATE
Contact information
Practice address
817 MATTHEWS DR, CINCINNATI, OH 45215-1836
(859) 802-1069
Mailing address
817 MATTHEWS DR, CINCINNATI, OH 45215-1836
(859) 802-1069
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
OH
Other
Enumeration date
07/24/2024
Last updated
10/14/2025
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