Theodore R Deroche, PHD

NPI #1013036607 in Ocala, Florida

Provider Information

NPI Number
1013036607
Entity Type
Individual
Name
Theodore R Deroche, PHD
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Mental Health
Credential
PHD
Enumeration Date
Mar 28, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
2760 SE 17TH STREET
Address 2
SUITE 300
City
Ocala
State
Florida
ZIP Code
34471
Phone
(352) 629-4113

Specialties & Taxonomy Codes

Specialty
Counselor - Mental HealthMental Health

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