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NPI Profile for PEGGY S DERIVAN in ROCHESTER, NY.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Mental Health |
101YM0800X |
| NPI # | 1073797833 |
|
| Status | Active | |
| Credentials | MS, LMHC | |
| Entity | Individual | |
| Enumeration date | 12/28/2007 | |
| Last updated | 11/02/2017 - About 9 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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PEGGY S DERIVAN
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PEGGY S DERIVAN, MS, LMHC