DR. Kenneth Allen Deherrera, PH.D.

NPI #1255386769 in Wateretown, New York

Provider Information

NPI Number: 1255386769
Entity Type: Individual
Name: DR. Kenneth Allen Deherrera, PH.D.
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Psychologist
Credential: PH.D.
Enumeration Date: May 23, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: DEPARTMENT OF THE ARMY, U.S. ARMY MEDICAL DEPARTMENT
Address 2: ACTIVITY, FORT DRUM, NEW YORK
City: Wateretown
State: New York
ZIP Code: 13602-5004
Phone: (315) 772-3314

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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