Derris Ross Valid NPI

Individual provider · Mental Health Clinic/Center (Including Community Mental Health Center) · Indianapolis, IN

NPI

1003586934

Type

Individual (Type 1)

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center) (Clinic/Center)

Specialty group

Ambulatory Health Care Facilities

Taxonomy code

261QM0801X

Sex

Male

Sole proprietor

Yes

Enumerated

2021-09-13

Last updated

2021-09-13