Most Relevant Information
Provider Data
| NPI Number: | 1003219387 |
| Provider Name: | DERRICK SKINNER |
| Entity Type: | Individual |
| Taxonomy Code: | 103TS0200X |
| Specialty: | Psychologist |
| License Number: |
Most Important Dates
| Enumeration Date: | 10/01/2014 |
| Last Updated: | 10/01/2014 |
Provider Practice Location
441 E MARKET ST
CELINA
OH
458221736
Practice Location Phone/Fax
| Phone: | 4195866628 |
| Fax: |
Provider Mailing Location
441 E MARKET ST
CELINA
OH
458221736
Provider Mailing Phone/Fax
| Phone: | 4195866628 |
| Fax: |