Individual provider · Type 1 NPI

Theodore R. Deroche, PhD

Mental Health Counselor · Ocala, FL

NPI number 1013036607 Active

Practice location

2760 SE 17th Street, Suite 300
Ocala, FL 34471

Call (352) 629-4113 Map

Fax (386) 439-1403

Mailing address

701 North Central Ave
Flagler Beach, FL 32136

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XMH50 (FL)

Mental Health Counselor: Definition to come...

2 other providers at this address

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About NPI 1013036607

Theodore R. Deroche, PhD's National Provider Identifier is 1013036607, issued on Mar 28, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Ocala, FL. The record was last updated on Jul 8, 2007.