IndividualActive
Kimberly Derrickson, PHD
NPI 1467522540 · Clinical Child & Adolescent Psychologist · Baltimore, MD
Provider details
- NPI number
- 1467522540
- Entity type
- Individual
- Primary specialty
- Clinical Child & Adolescent PsychologistBehavioral Health & Social Service Providers
- Credential
- PHD
- Sex
- Female
- Sole proprietor
- No
- License
- 03246 (MD)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
1708 W Rogers Ave
Baltimore, MD 21209-4545
Phone: (410) 578-8600
Approximate (ZIP-level) locationGet directions
Mailing address
1708 W Rogers Ave
Baltimore, MD 21209-4545
Registry dates
- Enumerated
- 2006-11-08
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.