MR. GREGORY ALEXANDER DERDERIAN


Address: 5280 34th St, Lubbock, TX 79407-1109
Phone: 0637074358

MR. GREGORY ALEXANDER DERDERIAN (NPI# 1942521224) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1942521224
Entity Type Individual
Full Name MR. GREGORY ALEXANDER DERDERIAN
Credential LMFT
Practice Address 5280 34th St
Lubbock
TX 79407-1109
Practice Telephone 0637074358
Mailing Telephone 0637074358
Enumeration Date 2010-06-21
Last Update Date 2018-04-02
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 106H00000X Marriage & Family Therapist 201464 TX Behavioral Health & Social Service Providers

Other Providers GREGORY DERDERIAN

NPI Name Taxonomy Address Enumeration
1457355737 Gregory Paul Derderian Surgery 538 N Old Woodward Ave, Birmingham, MI 48009-5375 2005-06-02

Office Location

Street Address 5280 34TH ST
City LUBBOCK
State TX
Zip Code 79407-1109

Providers in the same location

NPI Name Taxonomy Address Enumeration
1033295514 Cherry Dent Eaton Home Health 5280 34th St, Lubbock, TX 79407-3524 2006-10-27
1164574877 Cherry Tree Health Services, Inc Home Health 5280 34th St, Lubbock, TX 79407-3524 2007-01-16
1285704007 Agnes Dent Home Health 5280 34th St, Lubbock, TX 79407-3524 2006-11-09
1184700668 Agnes B. Dent Home Health 5280 34th St, Lubbock, TX 79407-3524 2006-10-27

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1275155731 Bryce Olson Pt, LLC Physical Therapist 6014 45th St Ste C Lubbock, Tx 79407, 6014 45th St Ste C Lubbock, Tx 79407, Lubbock, TX 79407 2020-05-07
1235762923 Fnu Sindhuja Gunasekaran Physical Therapist 6014 45th Street, Lubbock, TX 79407 2020-02-20
1770987554 Amanda Moore Occupational Therapist 6548 43rd St, Lubbock, TX 79407 2014-10-22
1336565639 Best Eye Visioncare, Pllc Optometrist 6020 34th Street, Lubbock, TX 79407 2014-03-11
1003249210 Costco Wholesale Corporation Pharmacy 6020 34th St, Lubbock, TX 79407 2013-08-12
1225304686 Community Health Center of Lubbock, Inc. Clinic/Center 5424 19th St Ste 200, Lubbock, TX 79407 2012-03-29
1023385879 Medway Medical Equipment IIi LLC Durable Medical Equipment & Medical Supplies 3448 W Loop 289, Lubbock, TX 79407 2011-11-22
1801102553 Jennifer Hobbs Williams Nurse Practitioner 1910 Quaker Ave Ste 101, Lubbock, TX 79407 2010-08-19
1780901496 Joni Rodriguez Counselor 1611 Ave K, Lubbock, TX 79407 2010-04-21
1073776860 Southwest Regional PCr, LLC Clinical Medical Laboratory 2002 W Loop 289 Ste 116, Lubbock, TX 79407 2008-07-02
Find all providers in zip 79407

Taxonomy Information

Taxonomy Code 106H00000X
Grouping Behavioral Health & Social Service Providers
Classification Marriage & Family Therapist

Taxonomy Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1851915326 Mazie Zielinski Marriage & Family Therapist 9305 Utica Dr, Lubbock, TX 79424-4821 2020-06-01
1871128066 Claire Eggleston Marriage & Family Therapist 6963 22nd Pl, Lubbock, TX 79407-1313 2020-03-08
1962045682 Alex Theobald Marriage & Family Therapist 165 Human Sciences Building, Akron St., Lubbock, TX 79409-7940 2019-10-25
1316420102 Neli Morris Marriage & Family Therapist 8212 Ithaca Ave Ste E7c, Lubbock, TX 79423-2633 2018-09-08
1306328927 Jaclyn Danielle Cravens Pickens Marriage & Family Therapist 8212 Ithaca Ave Ste E12, Lubbock, TX 79423-2615 2018-08-30
1760904437 Lynn Whitfield Marriage & Family Therapist 4913 S Loop 289 Ste 100, Lubbock, TX 79424-1630 2017-07-13
1427585728 Cynthia Dsauza Marriage & Family Therapist 4010 82nd St Ste 105, Lubbock, TX 79423-1956 2017-05-17
1144681966 Randy Porter Marriage & Family Therapist 1924 Broadway, Lubbock, TX 79401-3018 2016-03-08
1861882219 Sterling Shumway Marriage & Family Therapist 9103 Huron Ave, Lubbock, TX 79424-7841 2015-01-23
1780967943 Kimberly Ann Kerksiek Marriage & Family Therapist 7606 University Ave, Suite B-3, Lubbock, TX 79423-2155 2011-09-23
Find all providers in LUBBOCK

Competitor

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City LUBBOCK
Zip Code 79407

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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