| Autism Delaware | |
|
924 Old Harmony Rd Suite 201 Newark DE 19713-4184 | |
| (302) 224-6020 | |
| (302) 224-6017 |
| Full Name | Autism Delaware |
|---|---|
| Speciality | Psychologist - Intellectual & Developmental Disabilities |
| Location | 924 Old Harmony Rd, Newark, Delaware |
| Authorized Official Name and Position | Kim Rosebaum (ADMIN BILLER) |
| Authorized Official Contact | 3022246020 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Autism Delaware 924 Old Harmony Rd Suite 201 Newark DE 19713-4186 Ph: (302) 224-6020 | Autism Delaware 924 Old Harmony Rd Suite 201 Newark DE 19713-4184 Ph: (302) 224-6020 |
| NPI Number | 1326312885 |
|---|---|
| Provider Enumeration Date | 03/01/2012 |
| Last Update Date | 05/25/2021 |
| Certification Date | 05/25/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326312885 | NPI | - | NPPES |
| 221000204 | Medicaid | DE | |
| 000000204 | Medicaid | DE | |
| 222000204 | Medicaid | DE |
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