Individual provider · Type 1 NPI

Kenneth Mark Derby, PhD

Clinical Psychologist · Spokane, WA

NPI number 1679611420 Active

Practice location

1124 E 35th Ave
Spokane, WA 99203-3168

Fax (509) 323-5965

Specialties and licenses

TaxonomyCodeLicense
Cognitive & Behavioral Psychologist 103TB0200X2204 (WA)
Clinical Psychologist Primary 103TC0700X2204 (WA)

Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…

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About NPI 1679611420

Kenneth Mark Derby, PhD's National Provider Identifier is 1679611420, issued on Feb 2, 2007. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Spokane, WA. The record was last updated on Sep 11, 2025.