| NPI | 1942527528 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KERRI J KENNARD Psychologist 302-280-6256 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: DE B1 0000440) |
| Enumeration Date | 2010-04-22 |
| Last Update Date | 2017-03-08 |