MR. CLYDE LOUIS DEERE NPI 1144897117

NPI Information

NPI: 1144897117
Provider Name: MR. CLYDE LOUIS DEERE
Classification: Recreation Therapist - 225800000X
Entity Type: Individual
Address:
4500 S LANCASTER RD
DALLAS, TX
ZIP 75216
Phone: (214) 857-1134
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MR. Clyde Louis Deere is a recreation therapist in Dallas, TX. The provider is a recreation therapist uses recreational activities for intervention in some physical, social or emotional behavior to bring about a desired change in that behavior and promote the growth and development of the patient. MR. Clyde Louis Deere NPI is 1144897117. 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:

4500 S LANCASTER RD
DALLAS, TX
ZIP 75216-167
Phone: (214) 857-1134

The enumeration date for this NPI number is 6/8/2021 and was last updated on 6/8/2021.

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
1	225800000X	Recreation Therapist				Yes
2	225800000X	Recreation Therapist			TEXAS	No

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

NPI Synchronization or Removal

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