Derrick Skinner IV

NPI #1003219387 in Celina, Ohio

Provider Information

NPI Number: 1003219387
Entity Type: Individual
Name: Derrick Skinner IV
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Psychologist - School
Enumeration Date: Oct 1, 2014
Last Updated: Oct 1, 2014

Practice Location

Address: 441 E MARKET ST
City: Celina
State: Ohio
ZIP Code: 45822-1736
Phone: (419) 586-6628

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - School — School	103TS0200X	Primary

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