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Contact Information

JOHN DERUYTER, PSY. D
530 7TH AVE
FAIRBANKS, AK99701-4971
 Phone: 907-451-8208
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

103TF0000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for JOHN DERUYTER · (Male)

NPI Number 1396828125
Status Active
Credentials PSY. D
Entity Individual
Enumeration date 10/23/2006
Last updated 07/19/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • AK License # 547
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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