NPI 1003912692

Derrick S. Hines M.D. P.C.

Organisation Child & Adolescent Psychiatry Physician Phoenix, AZ

Practice location

Address: 8208 S 18th Pl, Phoenix, AZ 85042-6837
Phone: (602) 275-1348

Authorised official

Name: Derrick Shayne Hines
Title: President
Phone: (602) 275-1348

Registered specialties

Child & Adolescent Psychiatry Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2084P0804X Licence 31380 (AZ)

Other Psychiatry & Neurology providers in Arizona →

Registry record

NPI: 1003912692
Entity type: Organization
NPI issued: 15 Sep 2006
Record last updated: 29 Sep 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.