Organization · Type 2 NPI

State of Delaware

Health Service Psychologist · Dover, DE

NPI number 1215009097 Active

Practice location

417 Federal St
Dover, DE 19901-3635

Call (302) 744-4548 Map

Fax (302) 739-1613

Specialties and licenses

TaxonomyCodeLicense
Health Service Psychologist Primary 103TH0100XNone listed

Health Service Psychologist: A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974).

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About NPI 1215009097

State of Delaware's National Provider Identifier is 1215009097, issued on Nov 15, 2006. The primary taxonomy on file is Health Service Psychologist (103TH0100X), and the practice location is in Dover, DE. The record was last updated on Dec 1, 2011.