| NPI | 1497134100 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA ANN SMOLAK-KETTLEHAKE Psychologist 302-261-6901 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: DE B1-0000893) |
| Enumeration Date | 2015-05-27 |
| Last Update Date | 2015-05-27 |