Individual
DR. JAMIE C. DERRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
875 PERIMETER DR MS 3043, DEPT. OF PSYCHOLOGY, UNIVERSITY OF IDAHO, MOSCOW, ID 83844-9803
(208) 885-5057
Mailing address
1937 CONESTOGA ST, MOSCOW, ID 83843-2438
(208) 885-5057
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PSY14487
CA
103T00000X
Psychologist
Primary
PSY325
ID
Other
Enumeration date
07/12/2007
Last updated
06/02/2025
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