Individual
DR. DEREK ELSER PEHLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
1024 J ST STE 411, MODESTO, CA 95354-0844
(209) 544-1031
Mailing address
1024 J ST STE 411, MODESTO, CA 95354-0844
(209) 544-1031
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY21361
CA
Other
Enumeration date
03/21/2007
Last updated
02/11/2022
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