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 |
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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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 301057 | DE | -- |
Post Comment/ Review Below
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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