Dereck Mcclendon

NPI 1699224584 · on the registry since 2016

Practice

Address: 2454 W Lisbon Ave
Milwaukee, WI 53205
Phone: (414) 562-6361
Fax: (414) 204-8689
Organisation at this address: Crossroads Cognitive Behavioral Services
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy: 101Y00000X
101Y00000X
Also registered as: 101YA0400X
101YM0800X
101YP2500X
Licence states on file: WI
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2016-10-03

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin