Individual provider · Type 1 NPI

Annie Derthick, PhD

Clinical Psychologist · Kennesaw, GA

NPI number 1689039422 Active

Practice location

4255 Wade Green Rd NW Ste 414
Kennesaw, GA 30144-1763

Call (678) 213-2194 Map

Mailing address

4800 N Scottsdale Rd Ste 2500
Scottsdale, AZ 85251-7630

Other practice locations

  • 1201 E 36th Ave, Anchorage, AK 99508-4372 · (907) 562-9229
  • 76 High St, Lewiston, ME 04240 · (207) 795-2800

Specialties and licenses

TaxonomyCodeLicense
Family Psychologist 103TF0000XPS1563 (ME)
Psychologist 103T00000X107779 (AK)
Clinical Psychologist Primary 103TC0700XPSY900357 (GA)

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 1689039422

Annie Derthick, PhD's National Provider Identifier is 1689039422, issued on Dec 21, 2015. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Kennesaw, GA. The record was last updated on Aug 18, 2026.