| Blue Sky Psychological Services Llc | |
|
2 Old North Rd Camden DE 19934-7100 | |
| (302) 943-3916 | |
| (833) 719-1246 |
| Full Name | Blue Sky Psychological Services Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 2 Old North Rd, Camden, Delaware |
| Authorized Official Name and Position | Samantha Withrow (OWNER) |
| Authorized Official Contact | 3029433916 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Blue Sky Psychological Services Llc 2 Old North Rd Po Box 1007 Camden DE 19934 Ph: (302) 943-3916 | Blue Sky Psychological Services Llc 2 Old North Rd Camden DE 19934-7100 Ph: (302) 943-3916 |
| NPI Number | 1700491958 |
|---|---|
| Provider Enumeration Date | 09/14/2020 |
| Last Update Date | 09/14/2020 |
| Certification Date | 09/14/2020 |
| Medicare PECOS PAC ID | 3173935624 |
|---|---|
| Medicare Enrollment ID | O20201208000304 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700491958 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Samantha L Withrow |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346789369 PECOS PAC ID: 5799062691 Enrollment ID: I20170502001634 |
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