Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ANNIE DERTHICK, PHD
ActiveANNIE DERTHICK, PHD is a Family Psychologist healthcare provider located in LEWISTON, Maine. NPI 1689039422 is currently active in the NPPES registry. Verify at CMS.
Family Psychologist · LEWISTON, ME
Registration Details
- NPI Number
- 1689039422
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 21, 2015 (10.61784038908 yrs)
- Last Updated
- Sep 13, 2018
- Licenses
-
107779 (AK)PS1563 (ME)
Practice Information
- Address
-
76 HIGH STLEWISTON, ME, 04240Browse ME providers · Browse ZIP 04240
- Phone
- 2077952800
- Primary Specialty
-
Family Psychologist
103TF0000X
- Additional Specialty
- Family Psychologist
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.