Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JEFFREY DERTHICK
Active Sole ProprietorJEFFREY DERTHICK is a Behavioral Health, Residential healthcare provider located in MANTUA, Ohio. NPI 1073312591 is currently active in the NPPES registry. Verify at CMS.
Behavioral Health, Residential · MANTUA, OH
Registration Details
- NPI Number
- 1073312591
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 8, 2025 (1.4802948728128 yrs)
- Last Updated
- Mar 8, 2025
- Sole Proprietor
- Yes
Practice Information
- Address
-
6470 STREETER RDMANTUA, OH, 442559729Browse OH providers · Browse ZIP 44255
- Phone
- 3302211046
- Primary Specialty
-
Behavioral Health, Residential
251C00000X
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.