Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
AMY DETRICK
Active Sole ProprietorAMY DETRICK is a Developmental Disabilities Clinic healthcare provider located in FAIRBORN, Ohio. NPI 1265036982 is currently active in the NPPES registry. Verify at CMS.
Developmental Disabilities Clinic · FAIRBORN, OH
Registration Details
- NPI Number
- 1265036982
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 23, 2020 (5.7419840634038 yrs)
- Last Updated
- Nov 23, 2020
- Sole Proprietor
- Yes
Practice Information
- Address
-
421 KIRKWOOD DRFAIRBORN, OH, 453244429Browse OH providers · Browse ZIP 45324
- Phone
- 7708787179
- Primary Specialty
-
Developmental Disabilities Clinic
261QD1600X
Other Developmental Disabilities Clinic Providers in FAIRBORN, OH
| Name | Credential | NPI |
|---|---|---|
| TRACY SUE HILL | — | 1568064525 |
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.