Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. GLENN L DERRICK, M.A., L.L.P.
Active Sole ProprietorMR. GLENN L DERRICK, M.A., L.L.P. is a Psychologist healthcare provider located in SOUTHGATE, Michigan. NPI 1922124650 is currently active in the NPPES registry. Verify at CMS.
Psychologist · SOUTHGATE, MI
Registration Details
- NPI Number
- 1922124650
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 22, 2007 (19.209134702848 yrs)
- Last Updated
- Sep 27, 2025
- License
-
6361005250 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
13101 ALLEN RDSOUTHGATE, MI, 481952216Browse MI providers · Browse ZIP 48195
- Phone
- 7347857703
- Fax
- 7347857733
- Primary Specialty
-
Psychologist
103T00000X
Other Psychologist Providers in SOUTHGATE, MI
| Name | Credential | NPI |
|---|---|---|
| DONNA MARIE SMITH | MA, LLP | 1881619575 |
| CAROLE M ROWLAND | PHD | 1568552347 |
| CHERYL B TRIPLETT | PSYS, LLP | 1265506364 |
| MR. PASQUALE ALBERT VIGNOLA | M.A., L.L.P. | 1306968367 |
| MR. JONATHAN DOUGLAS REDMOND | TLLP | 1699897405 |
| VANESSA READING | LLP, CAADC | 1235251943 |
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.