National Provider Identifier
Peggy S. Derivan, MS, LMHC
Peggy S. Derivan, MS, LMHC is listed in the NPPES registry with a primary specialty of Mental Health Counselor in Rochester, NY and a listed phone number of (585) 766-3082.
Profile Overview
- NPI
- 1073797833
- Provider Type
- Individual
- Primary Specialty
- Mental Health Counselor
- Enumeration Date
- December 28, 2007
- Last Updated
- November 02, 2017
Practice Location
- 590 Titus Ave
- Rochester, NY 14617
Phone: (585) 766-3082
Specialties
- Mental Health Counselor (101YM0800X)
Full Record
- NPI
- 1073797833
- Entity Type
- Individual
- Last Name
- Derivan
- First Name
- Peggy
- Middle Name
- S.
- Name Prefix
- MS.
- Credential
- MS, LMHC
- Provider Other Last Name
- Gold
- Provider Other First Name
- Peggy
- Provider Other Middle Name
- S
- Provider Other Credential Text
- MS, LMHC
- Provider Other Last Name Type Code
- 5
- Mailing Street Address
- 590 Titus Ave
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14617
- Mailing Country
- US
- Mailing Phone
- (585) 766-3082
- Mailing Fax
- (585) 266-9336
- Practice Street Address
- 590 Titus Ave
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14617
- Practice Country
- US
- Practice Phone
- (585) 766-3082
- Enumeration Date
- December 28, 2007
- Last Updated
- November 02, 2017
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Mental Health Counselor (101YM0800X)