MEDICARE: RICHARD MICHAEL DRURY PSY.D.

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
1	103TC2200X	Clinical Child & Adolescent Psychologist

General Provider Information

NPI Number	:	1699116418
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RICHARD MICHAEL DRURY PSY.D.

Provider Business Mailing Address
First Line	:	2507 CALLAWAY RD
Second Line	:
City	:	TALLAHASSEE
State	:	FL
Zip	:	32303-5267
Country	:	US
Telephone Number	:	850-644-6543
Fax Number	:

Provider Business Practice Location Address
First Line	:	2507 CALLAWAY RD
Second Line	:
City	:	TALLAHASSEE
State	:	FL
Zip	:	32303-5267
Country	:	US
Telephone Number	:	850-644-6543
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/09/2013
Last Update Date	:	06/08/2026

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