Individual provider · Type 1 NPI

Brenda Marie Jock Derouin, MA, CAS

Specialist · Watertown, NY

NPI number 1780085472 Active

Practice location

21638 Reed Rd
Watertown, NY 13601-5048

Call (315) 786-0677 Map

Fax (315) 836-3782

Mailing address

14702 Military Rd
Sackets Harbor, NY 13685-2162

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1780085472

Brenda Marie Jock Derouin, MA, CAS's National Provider Identifier is 1780085472, issued on Sep 12, 2014. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Watertown, NY. The record was last updated on Sep 12, 2014.