Doctor Name: | MRS. JULIE MARIE DERRINGER |
NPI Number: | 1083795744 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 3717 Taylorsville Rd Louisville, KY - 402201333 |
Business Phone Number: | 5024590205 |
Business Fax Number: | 5024529079 |
Mailing Address: | 101 W Muhammad Ali Blvd, LOUISVILLE |
State: | KY |
Postal Code: | 402021423 |
Phone Number: | 5025891100 |
Fax Number: | 5025898771 |
NPI Enumeration Date: | 10/18/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | 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. |