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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. DERICK DANVIL ROACHE, RN LCSW PSYD

Active

MR. DERICK DANVIL ROACHE, RN LCSW PSYD is a Child & Adolescent Psychiatric Nurse healthcare provider located in WINTER HAVEN, Florida. NPI 1770663478 is currently active in the NPPES registry. Verify at CMS.

Child & Adolescent Psychiatric Nurse · WINTER HAVEN, FL

Registration Details

NPI Number
1770663478
Provider Type
Individual
Gender
Male
NPI Issued
Oct 17, 2006 (19.869225465825 yrs)
Last Updated
Jul 8, 2007
License
RN9178432 (FL)

Practice Information

Address
1201 FIRST STREET SOUTH
WINTER HAVEN, FL, 33880
Browse FL providers · Browse ZIP 33880
Phone
8632971702
Fax
8632916084
Primary Specialty
Child & Adolescent Psychiatric Nurse
163WP0808X

Other Child & Adolescent Psychiatric Nurse Providers in WINTER HAVEN, FL

Name Credential NPI
MS. LOLA JOYCE STRINGFELLOW 1699873034
MRS. MARILYN VAUGHN WALDRON RN 1942380639
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.