| Doctor Name: | DR. CRAIG ALLEN DERROR |
| NPI Number: | 1124366950 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PHD |
| License Number: | 6301013463 |
| Business Practice Address: | 9116 E 13th St Suite B Cadillac, MI - 496018126 |
| Business Phone Number: | 2318783059 |
| Business Fax Number: | |
| Mailing Address: | 9116 E 13th St, Suite B CADILLAC |
| State: | MI |
| Postal Code: | 496018126 |
| Phone Number: | 2318783059 |
| Fax Number: | |
| NPI Enumeration Date: | 01/29/2013 |
| NPI Last Update Date: | 01/29/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TB0200X |
| License Number: | 6301013463 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Cognitive & Behavioral |
| Taxonomy Definition: | |