Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DERICK W MOODY, PA
ActiveDERICK W MOODY, PA is a Psychiatric/Mental Health, Community CNS healthcare provider located in SPRINGVILLE, Utah. NPI 1235551409 is currently active in the NPPES registry. Verify at CMS.
Psychiatric/Mental Health, Community CNS · SPRINGVILLE, UT
Registration Details
- NPI Number
- 1235551409
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 7, 2014 (12.605284277839 yrs)
- Last Updated
- Sep 7, 2023
- Licenses
-
8820342-1206 (UT)8820342-1206 (UT)
Practice Information
- Address
-
672 W 400 S STE 201SPRINGVILLE, UT, 846633170Browse UT providers · Browse ZIP 84663
- Phone
- 8013698989
- Fax
- 8017049741
- Primary Specialty
-
Psychiatric/Mental Health, Community CNS
364SP0808X
- Additional Specialty
- Physician Assistant
Other Psychiatric/Mental Health, Community CNS Providers in SPRINGVILLE, UT
| Name | Credential | NPI |
|---|---|---|
| FORREST WAYNE YORGASON | PA-C | 1932823572 |
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.