Cora's Place | |
2015 Peachtree Run Rd Dover DE 19901 | |
(302) 480-9340 | |
(302) 480-9341 |
Full Name | Cora's Place |
---|---|
Speciality | Psychologist - Group Psychotherapy |
Location | 2015 Peachtree Run Rd, Dover, Delaware |
Authorized Official Name and Position | Randall Cooper (CFO) |
Authorized Official Contact | 4108102468 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Cora's Place 870 High St Ste 2 Chestertown MD 21620-3914 Ph: (410) 778-1099 | Cora's Place 2015 Peachtree Run Rd Dover DE 19901 Ph: (302) 480-9340 |
NPI Number | 1689699274 |
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Provider Enumeration Date | 07/13/2006 |
Last Update Date | 11/06/2020 |
Certification Date | 11/06/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1689699274 | NPI | - | NPPES |
0000520561 | Medicaid | DE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TP2701X | Psychologist - Group Psychotherapy | (* (Not Available)) | Primary |
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