MR. GLENN DERRICK, M.A., L.L.P.
Psychologist
Active
Individual
NPI: 1922124650
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Psychologist | 103T00000X | Yes | 6361005250 (MI) |
Frequently Asked Questions
NPI 1922124650 is the National Provider Identifier for MR. GLENN DERRICK, M.A., L.L.P., a Psychologist provider located in Southgate, MI. This NPI was enumerated on March 22, 2007.
MR. GLENN DERRICK, M.A., L.L.P. practices at 13101 ALLEN RD, Southgate, MI 48195.
Quick Facts
- NPI
- 1922124650
- Type
- Individual
- Enumerated
- Mar 22, 2007
- Last Updated
- Sep 27, 2025
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