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NPI Code Detail

MEDICARE: DERRICK HUMPHREY LIMHP

MEDICARE: DERRICK HUMPHREY LIMHP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health CounselorLIMHP-3133NE

General Provider Information

NPI Number : 1396999546
Entity Type Code : Individual
Provider Name (Legal Business Name) : DERRICK HUMPHREY LIMHP
Provider Business Mailing Address
First Line : 9222 BURT ST APT 121
Second Line :
City : OMAHA
State : NE
Zip : 68114-2429
Country : US
Telephone Number : 402-926-9124
Fax Number :
Provider Business Practice Location Address
First Line : 9222 BURT ST APT 121
Second Line :
City : OMAHA
State : NE
Zip : 68114-2429
Country : US
Telephone Number : 402-926-9124
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/13/2008
Last Update Date : 06/01/2026

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Directions to “ DERRICK HUMPHREY LIMHP” Practice Location

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