NPI 1174331979

Emily Nicole Derenberger

Practitioner Early Intervention Provider Agency Parkersburg, WV

Practice location

Address: 1917 Dudley Ave, Parkersburg, WV 26101-2674
Phone: (304) 580-1242

Registered specialties

Early Intervention Provider Agency Primary

Agencies Taxonomy 252Y00000X Licence 252Y00000X (WV)

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Registry record

NPI: 1174331979
Entity type: Individual
Sex (as registered): Female
NPI issued: 26 Dec 2024
Record last updated: 26 Dec 2024

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.