Individual provider · Type 1 NPI

Terese Angela Derzay, LMP

Specialist · Seattle, WA

NPI number 1124169107 Active

Practice location

2715 California Ave SW
Seattle, WA 98116-2469

Call (206) 852-1555 Map

Mailing address

PO Box 16544
Seattle, WA 98116-0544

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XMA14332 (WA)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1124169107

Terese Angela Derzay, LMP's National Provider Identifier is 1124169107, issued on Feb 10, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Seattle, WA. The record was last updated on Jul 8, 2007.