| Haven Psychological Services, Llc | |
|
724 Yorklyn Rd Ste 315 Hockessin DE 19707-8733 | |
| (302) 357-2057 | |
| Not Available |
| Full Name | Haven Psychological Services, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 724 Yorklyn Rd Ste 315, Hockessin, Delaware |
| Authorized Official Name and Position | Troy William Lea (PSYCHOLOGIST) |
| Authorized Official Contact | 3023572057 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Haven Psychological Services, Llc 724 Yorklyn Rd Ste 315 Hockessin DE 19707-8733 Ph: (302) 357-2057 | Haven Psychological Services, Llc 724 Yorklyn Rd Ste 315 Hockessin DE 19707-8733 Ph: (302) 357-2057 |
| NPI Number | 1588200513 |
|---|---|
| Provider Enumeration Date | 11/25/2019 |
| Last Update Date | 02/12/2020 |
| Certification Date | 02/12/2020 |
| Medicare PECOS PAC ID | 6608204870 |
|---|---|
| Medicare Enrollment ID | O20200323000295 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588200513 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Troy Lea |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1174036560 PECOS PAC ID: 7315208832 Enrollment ID: I20180226001265 |
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