Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KIMBERLY ANNE DEROUCHIE
Active Sole ProprietorKIMBERLY ANNE DEROUCHIE is a Early Intervention Provider Agency healthcare provider located in OWEGO, New York. NPI 1063775476 is currently active in the NPPES registry. Verify at CMS.
Early Intervention Provider Agency · OWEGO, NY
Registration Details
- NPI Number
- 1063775476
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 20, 2012 (14.154101497193 yrs)
- Last Updated
- Jun 20, 2012
- Sole Proprietor
- Yes
Practice Information
- Address
-
1062 RT. 38OWEGO, NY, 13827Browse NY providers · Browse ZIP 13827
- Phone
- 6076878610
- Fax
- 6072237005
- Primary Specialty
-
Early Intervention Provider Agency
252Y00000X
Other Early Intervention Provider Agency Providers in OWEGO, NY
| Name | Credential | NPI |
|---|---|---|
| MISS JENNA DYER | — | 1770028219 |
| JORDAN CARNE | — | 1811483753 |
| MEAGAN FERGUSON | — | 1730745977 |
| SARAH CENTERWALL | — | 1457075269 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.