Doctor Name: | DR. TERRY DEROCHER LERMA |
NPI Number: | 1194156687 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PHD, LMSW |
License Number: | 6801032914 |
Business Practice Address: | 97 S. 4th Street Suite F Marquette, MI - 49855 |
Business Phone Number: | 9064852347 |
Business Fax Number: | 9064961150 |
Mailing Address: | 201 Rublein Street, Suite A, MARQUETTE |
State: | MI |
Postal Code: | 49855 |
Phone Number: | 9062289699 |
Fax Number: | 9062280505 |
NPI Enumeration Date: | 12/09/2013 |
NPI Last Update Date: | 12/09/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 6801032914 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |