State Of Delaware in Dover - Health Service

State Of Delaware - NPI 1306918180

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 1306918180. 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 1306918180
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
300957 DE --

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FAQs about State Of Delaware

What is the unique 10-digit identifier code issued to State Of Delaware by the Centers for Medicare & Medicaid Services?

The State Of Delaware has been assigned the NPI (National Provider Identifier) 1306918180 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please provide the complete physical location address of State Of Delaware?

The State Of Delaware is physically situated at 417 Federal St, in the city of Dover, state of DE, with the postal code 199013635.

What is the State Of Delaware's area of specialization and corresponding taxonomy classification?

The State Of Delaware's specialty field is Health Service, and it falls under the taxonomy code 103Th0100X, which categorizes healthcare providers based on their specialties.

On what date did the Centers for Medicare & Medicaid Services issue the 1306918180 to State Of Delaware?

The State Of Delaware received its 1306918180 assignment from the Centers for Medicare & Medicaid Services on 2006-11-15.

As of what date were the details related to State Of Delaware most recently updated or revised?

The information pertaining to State Of Delaware, including its address, specialty, and other relevant details, was last updated or revised on 2011-12-01.

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