MR. Derick Danvil Roache, RN LCSW PSYD
NPI #1770663478 in Winter Haven, Florida
Provider Information
- NPI Number
- 1770663478
- Entity Type
- Individual
- Name
- MR. Derick Danvil Roache, RN LCSW PSYD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Registered Nurse - Psychiatric/Mental Health
- Credential
- RN LCSW PSYD
- Enumeration Date
- Oct 17, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 1201 FIRST STREET SOUTH
- City
- Winter Haven
- State
- Florida
- ZIP Code
- 33880
- Phone
- (863) 297-1702
Specialties & Taxonomy Codes
| Specialty |
|---|
| Registered Nurse - Psychiatric/Mental Health — Psychiatric/Mental Health |
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