Organization · Type 2 NPI

Self Realization, LLC

Health Service Psychologist · Middletown, DE

NPI number 1487982880 Active

Practice location

102 Sleepy Hollow Dr, Ste 200
Middletown, DE 19709-5841

Mailing address

9 Morning Dew Dr
Middletown, DE 19709-2419

Specialties and licenses

TaxonomyCodeLicense
Health Service Psychologist Primary 103TH0100XB10000757 (DE)

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).

18 other providers at this address

About NPI 1487982880

Self Realization, LLC's National Provider Identifier is 1487982880, issued on Nov 23, 2009. The primary taxonomy on file is Health Service Psychologist (103TH0100X), and the practice location is in Middletown, DE. The record was last updated on Feb 4, 2010.