Provider Demographics
NPI:1457409856
Name:DARBY, ROY O III (PHD)
Entity Type:Individual
Prefix:DR
First Name:ROY
Middle Name:O
Last Name:DARBY
Suffix:III
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1734
Mailing Address - Street 2:
Mailing Address - City:BEAUFORT
Mailing Address - State:SC
Mailing Address - Zip Code:29901-1734
Mailing Address - Country:US
Mailing Address - Phone:843-524-5367
Mailing Address - Fax:843-524-3877
Practice Address - Street 1:1113 13TH ST
Practice Address - Street 2:
Practice Address - City:PORT ROYAL
Practice Address - State:SC
Practice Address - Zip Code:29935-1937
Practice Address - Country:US
Practice Address - Phone:843-524-5367
Practice Address - Fax:843-524-3877
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC387103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical