| NPI | 1245316694 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL H BLUMBERG Member Psychologist 302-652-7733 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: DE B1-0000212) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: DE B10000190) |
| 103TC0700X Psychologist, Clinical (Licence: DE B10000662) | |
| 103TC0700X Psychologist, Clinical (Licence: DE B10000201) | |
| 101YM0800X Counselor, Mental Health (Licence: DE PC0000337) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: DE C01-0007013.) | |
| 103TC0700X Psychologist, Clinical (Licence: DE B1-0000210) | |
| Enumeration Date | 2006-10-28 |
| Last Update Date | 2020-08-22 |