Individual
DR. DAVID BRIAN DERR
Active
Individual
DR. DAVID BRIAN DERR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
103TC1900X
Counseling Psychologist
Primary
06-05P
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5Y483
BLUECROSS PROVIDER NUMBER
AR
Enumeration date
05/26/2006
Last updated
01/14/2013
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