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State Of Delaware
Health Service Psychologist in Dover, Delaware
NPI 1215009097

State Of Delaware is a Health Service Psychologist based in Dover, DE and is specialized in Health Service. State Of Delaware practices in Dover, DE. The NPI Number for State Of Delaware is 1215009097 and holds a License No. (Delaware).

The current practice location address for State Of Delaware is 417 Federal St, Dover, DE and can be reached out via phone at 302-744-4548 and via fax at 302-739-1613.

Location: 417 Federal St, Dover, DE, 19901-3635
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1215009097
Provider Name
State Of Delaware
Credential
Provider Entity Type
Organization
Address
417 Federal St, Dover, DE, 19901-3635
Phone Number
302-744-4548
Fax Number
302-739-1613
Provider Enumeration Date
11/15/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0000301057 05 DE
institution
Provider Business Practice Location Address Details
Address
417 Federal St
City
Dover
State
Delaware
Zip
19901-3635
Phone Number
302-744-4548
Fax Number
302-739-1613
person
Provider Business Mailing Address Details
Address
417 Federal St
City
Dover
State
Delaware
Zip
19901-3635
Phone Number
302-744-4548
Fax Number
302-739-1613
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Health Service
Taxonomy
103TH0100X
License No.
()
Definition
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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institution
State Of Delaware
NPI 1306918180
Health Service Psychologist
417 Federal St,
DOVER, DE
19901-3635
302-744-4548
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