Individual provider · Type 1 NPI

Catherine Derrick, IDD SERVICES

Day Training/Habilitation Specialist · Gulfport, MS

NPI number 1154046720 Active

Practice location

1600 Broad Ave
Gulfport, MS 39501-3603

Call (228) 213-5888 Map

Fax (228) 575-3433

Mailing address

PO Box 18679
Hattiesburg, MS 39404-8679

Specialties and licenses

TaxonomyCodeLicense
Day Training/Habilitation Specialist Primary 373H00000XNone listed

Day Training/Habilitation Specialist: Individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living.

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About NPI 1154046720

Catherine Derrick, IDD SERVICES's National Provider Identifier is 1154046720, issued on Oct 6, 2022. The primary taxonomy on file is Day Training/Habilitation Specialist (373H00000X), and the practice location is in Gulfport, MS. The record was last updated on Oct 6, 2022.