Theodore R Deroche, PHD - Counselor in Ocala, FL

Theodore R Deroche, PHD is a Counselor - Mental Health based in Ocala, Florida. Theodore R Deroche is licensed to practice in Florida (license number MH50) and his current practice location is 2760 Se 17th Street, Suite 300, Ocala, Florida. He can be reached at his office (for appointments etc.) via phone at (352) 629-4113.

NPI number for Theodore R Deroche is 1013036607 and his current mailing address is 701 North Central Ave, Flagler Beach, Florida. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1013036607.

Contact Information

Theodore R Deroche, PHD
2760 Se 17th Street, Suite 300,
Ocala, FL 34471
(352) 629-4113
(386) 439-1403

Healthcare Provider's Profile

Full NameTheodore R Deroche
GenderMale
SpecialityCounselor - Mental Health
Location2760 Se 17th Street, Ocala, Florida
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1013036607
  • Provider Enumeration Date: 03/28/2007
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Theodore R Deroche such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013036607NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health MH50 (Florida)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Theodore R Deroche is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Theodore R Deroche, PHD
701 North Central Ave,
Flagler Beach, FL 32136

Ph: (386) 439-1403
Theodore R Deroche, PHD
2760 Se 17th Street, Suite 300,
Ocala, FL 34471

Ph: (352) 629-4113

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