Individual provider · Type 1 NPI
Kenneth Allen Deherrera, PhD
Psychologist · Wateretown, NY
Practice location
Department Of The Army, U.s. Army Medical Department, Activity, Fort Drum, New York
Wateretown, NY 13602-5004
Mailing address
410 Holcomb St
Watertown, NY 13601-3907
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist Primary | 103T00000X | 263423-2501 (UT) |
Psychologist: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustmen…
About NPI 1255386769
Kenneth Allen Deherrera, PhD's National Provider Identifier is 1255386769, issued on May 23, 2006. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Wateretown, NY. The record was last updated on Jul 13, 2026.