State Of Delaware in Dover - Health Service

State Of Delaware - NPI 1215009097

State Of Delaware is a Health Service in Dover, Delaware. State Of Delaware practices all healthcare services and medical treatments related to Health Service. The NPI Number for State Of Delaware is 1215009097. The last update date is 2011-12-01.

State Of Delaware's current location address is 417 Federal St, Dover, Delaware. You can contact this provider via phone number 3027444548 and fax number 3027391613. The mailing address for State Of Delaware is 417 Federal St, Dover, Delaware. To know further, please read the information below!

Provider Profile Detail

Provider Organization State Of Delaware
Address 417 Federal St, Dover, Delaware
Phone Number 3027444548
Fax Number 3027391613
Sole Proprietor --
Credentials --

Authorized Official

Title or Position DIRECTOR
Authorized Official Name Rattay Karyl
Credentials MD
Telephone Number 3027444700

NPI Number Detail

NPI Number 1215009097
Provider Enumeration Date 2006-11-15
Last Updated Date 2011-12-01

Provider Mailing Address Detail

Address 417 Federal St
City Dover
State Delaware (DE)
Post Code 199013635
Phone Number 3027444548
Fax Number 3027391613

Provider's Primary Taxonomy Detail

Speciality Health Service
Taxonomy 103Th0100X
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, adjustm

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
301057 DE --

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FAQs about State Of Delaware

What is the unique provider identifier assigned to State Of Delaware?

The State Of Delaware has been issued the NPI (National Provider Identifier) 1215009097 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Where is the State Of Delaware located?

The State Of Delaware is located at 417 Federal St, Dover, DE 199013635.

What is State Of Delaware's specialized field of practice, and what is the corresponding taxonomy classification code?

The State Of Delaware's area of specialization is Health Service, and the corresponding taxonomy code that categorizes this field of practice is 103Th0100X.

On what date did the State Of Delaware receive its 1215009097 assignment from the Centers for Medicare & Medicaid Services?

The State Of Delaware was assigned its 1215009097 by the Centers for Medicare & Medicaid Services on 2006-11-15.

As of what date was the information pertaining to State Of Delaware, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to State Of Delaware, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2011-12-01.

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