Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Amy Detrick

Individual provider Developmental Disabilities Clinic/Center · NPI 1265036982

Amy Detrick is a Developmental Disabilities Clinic/Center in Fairborn, Ohio. Practices as a sole proprietor. Registered with an NPI since 2020.

In the registry since
2020
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Practice location Address checks out

421 Kirkwood Dr
Fairborn, OH 45324-4429
Phone: (770) 878-7179
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Developmental Disabilities Clinic/Center (primary) Taxonomy 261QD1600X

Record details

NPI number1265036982
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 23, 2020
Last updated in NPPESNovember 23, 2020
Certification dateNovember 23, 2020
Mailing address421 Kirkwood Dr, Fairborn, OH 45324-4429

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