DWAYNE R DEPRY DO INC NPI 1073703641

NPI Information

  • NPI: 1073703641
  • Provider Name: DWAYNE R DEPRY DO INC
  • Classification: Psychiatry & Neurology - 2084P0800X
  • Specialization: Psychiatry
  • Entity Type: Organization
  • Address: 1221 E SPRUCE AVE
    FRESNO, CA
    ZIP 93720
  • Phone: (559) 261-2799

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NPI Details

DWAYNE R DEPRY DO INC is a psychiatry psychiatry neurology in Fresno, CA. The provider is a Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. DWAYNE R DEPRY DO INC NPI is 1073703641. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1221 E SPRUCE AVE
FRESNO, CA
ZIP 93720
Phone: (559) 261-2799
Fax: (559) 261-2796

The provider's authorized official is Dwayne R Depry .
The authorized official title is Owner and has the following contact phone number (559) 261-2799.

The enumeration date for this NPI number is 7/30/2007 and was last updated on 7/30/2007.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12084P0800XPsychiatry & NeurologyPsychiatry20A9403CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1I68086MEDICARE UPINCALIFORNIA

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: 3/30/2025

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