National Provider Identifier
Deryck Anthony Thompson, MS
Deryck Anthony Thompson, MS is listed in the NPPES registry with a primary specialty of Mental Health Counselor in Lockport, NY and a listed phone number of (716) 302-3200.
Profile Overview
- NPI
- 1659137750
- Provider Type
- Individual
- Primary Specialty
- Mental Health Counselor
- Enumeration Date
- February 26, 2024
- Last Updated
- February 26, 2024
Practice Location
- 680 Davison RD
- Lockport, NY 14094-5338
Phone: (716) 302-3200
Specialties
- Mental Health Counselor (101YM0800X)
Full Record
- NPI
- 1659137750
- Entity Type
- Individual
- Last Name
- Thompson
- First Name
- Deryck
- Middle Name
- Anthony
- Name Prefix
- Mr.
- Credential
- MS
- Mailing Street Address
- 680 Davison RD
- Mailing City
- Lockport
- Mailing State
- NY
- Mailing ZIP Code
- 14094-5338
- Mailing Country
- US
- Mailing Phone
- (716) 302-3200
- Practice Street Address
- 680 Davison RD
- Practice City
- Lockport
- Practice State
- NY
- Practice ZIP Code
- 14094-5338
- Practice Country
- US
- Practice Phone
- (716) 302-3200
- Enumeration Date
- February 26, 2024
- Last Updated
- February 26, 2024
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- February 26, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Mental Health Counselor (101YM0800X)