JOHN DERUYTER PSY. D NPI 1396828125

NPI Information

NPI: 1396828125
Provider Name: JOHN DERUYTER, PSY. D
Classification: Psychologist - 103TF0000X
Entity Type: Individual

Specialization: Family

Address:
530 7TH AVE
FAIRBANKS, AK
ZIP 99701
Phone: (907) 451-8208
Get Directions

John Deruyter, PSY. D is a family psychologist in Fairbanks, AK. The provider is a psychologist whose specialty is founded on principles of systems theory with the interpersonal system of the family the focus of assessment, intervention and research. John Deruyter, PSY. D NPI is 1396828125. 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:

530 7TH AVE
FAIRBANKS, AK
ZIP 99701-971
Phone: (907) 451-8208

The enumeration date for this NPI number is 10/23/2006 and was last updated on 7/19/2019.

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	103TF0000X	Psychologist	Family	547	ALASKA	Yes

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: 11/14/2023

NPI Synchronization or Removal

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