Individual provider · Type 1 NPI

Evelyn Derry, PhD

Professional Counselor · Shreveport, LA

NPI number 1144773102 Active

Practice location

2924 Knight St Ste 434
Shreveport, LA 71105-2413

Call (318) 208-0451 Map

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X7130 (LA)

Professional Counselor: Definition to come...

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About NPI 1144773102

Evelyn Derry, PhD's National Provider Identifier is 1144773102, issued on Jul 26, 2016. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Shreveport, LA. The record was last updated on Feb 4, 2026.