Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TRACY R DERICKSON
Active Sole ProprietorTRACY R DERICKSON is a Community/Behavioral Health healthcare provider located in TIMNATH, Colorado. NPI 1871389114 is currently active in the NPPES registry. Verify at CMS.
Community/Behavioral Health · TIMNATH, CO
Registration Details
- NPI Number
- 1871389114
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 15, 2025 (1.3631909291372 yrs)
- Last Updated
- Apr 15, 2025
- Sole Proprietor
- Yes
Practice Information
- Address
-
1272 WOLFHOUND STTIMNATH, CO, 805474488Browse CO providers · Browse ZIP 80547
- Phone
- 9702310341
- Primary Specialty
-
Community/Behavioral Health
251S00000X
Other Community/Behavioral Health Providers in TIMNATH, CO
| Name | Credential | NPI |
|---|---|---|
| MADISON KAY GIEHM | — | 1114713195 |
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.