Individual provider · Type 1 NPI
Derris Ross
Mental Health Clinic/Center (Including Community Mental Health Center) · Indianapolis, IN
NPI number
1003586934
Active
Practice location
3939 N Arlington Ave
Indianapolis, IN 46226-4816
Mailing address
8901 E 42nd St
Indianapolis, IN 46226-5515
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) Primary | 261QM0801X | None listed |
Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...
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About NPI 1003586934
Derris Ross's National Provider Identifier is 1003586934, issued on Sep 13, 2021. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Indianapolis, IN. The record was last updated on Sep 13, 2021.