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ANNIE DERTHICK PHD NPI 1689039422


NPI Information

NPI: 1689039422
Provider Name: ANNIE DERTHICK, PHD
Classification: Psychologist - 103TF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
76 HIGH ST
LEWISTON, ME
ZIP 04240
Phone: (207) 795-2800
Get Directions

Annie Derthick, PHD is a family psychologist in Lewiston, ME. 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. Annie Derthick, PHD NPI is 1689039422. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

76 HIGH ST
LEWISTON, ME
ZIP 04240
Phone: (207) 795-2800

The NPI 1689039422 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/21/2015 and was last updated on 9/13/2018.


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
1103T00000XPsychologist107779ALASKANo
2103TF0000XPsychologistFamilyPS1563MAINEYes

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

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.