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

Mr. Glenn L Derrick, MA, LLP

Individual provider Psychologist · NPI 1922124650

Mr. Glenn L Derrick, MA, LLP is a Psychologist in Southgate, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2007
What do these letters mean?
MA — Master of Arts
A graduate arts degree.

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Practice location Address checks out

13101 Allen Rd
Southgate, MI 48195-2216
Phone: (734) 785-7703
Fax: (734) 785-7733
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 6361005250 (MI)

Record details

NPI number1922124650
Entity typeIndividual (Type 1)
GenderMale
Credentials MA , LLP
Sole proprietorYes
NPI enumeratedMarch 22, 2007
Last updated in NPPESSeptember 27, 2025
Certification dateSeptember 27, 2025

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