| NPI | 1255570602 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN ANDERSON Practice Manager 302-674-3350 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: DE 01-0001086) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103K00000X Behavior Analyst (Licence: 01-03-1130) | |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2009-02-09 |
| Last Update Date | 2026-08-14 |