IndividualActive
Catherine Derrick, IDD SERVICES
NPI 1154046720 · Day Training/Habilitation Specialist · Gulfport, MS
Provider details
- NPI number
- 1154046720
- Entity type
- Individual
- Primary specialty
- Day Training/Habilitation SpecialistNursing Service Related Providers
- Credential
- IDD SERVICES
- Sex
- Female
- Sole proprietor
- No
Practice location
1600 Broad Ave
Gulfport, MS 39501-3603
Phone: (228) 213-5888
Fax: (228) 575-3433
Mailing address
Po Box 18679
Hattiesburg, MS 39404-8679
Registry dates
- Enumerated
- 2022-10-06
- Last updated
- 2022-10-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.