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DR. KENNETH MARK DERBY PH.D. NPI 1679611420


NPI Information

NPI: 1679611420
Provider Name: DR. KENNETH MARK DERBY, PH.D.
Classification: Psychologist - 103TB0200X
Entity Type: Individual

Specialization: Cognitive & Behavioral

Address:
1124 E 35TH AVE
SPOKANE, WA
ZIP 99203
Phone: (509) 747-7460
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DR. Kenneth Mark Derby, PH.D. is a cognitive and behavioral psychologist in Spokane, WA. The provider is a psychologist who reflects an experimental-clinical approach distinguished by use of principles of human learning and development and theories of cognitive processing to promote meaningful change in maladaptive human behavior and thinking. DR. Kenneth Mark Derby, PH.D. NPI is 1679611420. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1124 E 35TH AVE
SPOKANE, WA
ZIP 99203-168
Phone: (509) 747-7460
Fax: (509) 323-5965

The enumeration date for this NPI number is 2/2/2007 and was last updated on 7/8/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103TB0200XPsychologistCognitive & Behavioral2204WASHINGTONYes
2103TC0700XPsychologistClinical2204WASHINGTONX

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.