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General NPI Number Information
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NPI Number | 1689998221
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Entity Type | Individual
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Provider Name | CHRISTOPHER DERIX PSYD
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Gender | Male
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Dates
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Enumeration Date | 03/25/2010
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Last Update Date | 12/22/2025
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Provider Practice Location Address
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Address Line | 3408 WOODLAND AVE
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City | WEST DES MOINES
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State | IA
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Zip | 50266-6506
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Country | US
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Telephone | 515-207-5226
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Fax |
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Provider Business Mailing Address
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Address Line | 3408 WOODLAND AVE STE 102
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City | WEST DES MOINES
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State | IA
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Zip | 50266-6504
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Country | US
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Telephone | 515-207-5226
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 2011032573
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 2010007876
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License Number State | MO
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