Delaware Mentor | |
28417 Dupont Highway Millsboro DE 19966-1209 | |
(732) 627-9890 | |
(732) 563-6780 |
Full Name | Delaware Mentor |
---|---|
Speciality | Psychologist - Intellectual & Developmental Disabilities |
Location | 28417 Dupont Highway, Millsboro, Delaware |
Authorized Official Name and Position | Brett Ian Cohen (COO) |
Authorized Official Contact | 8003885150 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Delaware Mentor 230 Mitchell St Ste A Millsboro DE 19966-9402 Ph: (302) 934-0512 | Delaware Mentor 28417 Dupont Highway Millsboro DE 19966-1209 Ph: (732) 627-9890 |
NPI Number | 1588937486 |
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Provider Enumeration Date | 02/23/2012 |
Last Update Date | 03/12/2023 |
Certification Date | 03/12/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1588937486 | NPI | - | NPPES |
000000123 | Medicaid | DE | |
250596940 | Medicaid | DE | |
221000123 | Medicaid | DE |
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