Jevs Human Services | |
1521 Concord Pike Ste 301 Wilmington DE 19803-3644 | |
(800) 610-7910 | |
(866) 856-0752 |
Full Name | Jevs Human Services |
---|---|
Speciality | Psychologist - Adult Development & Aging |
Location | 1521 Concord Pike Ste 301, Wilmington, Delaware |
Authorized Official Name and Position | Philip J Moran (CFO) |
Authorized Official Contact | 2158541800 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Jevs Human Services 1845 Walnut Street, 7th Floor Philadelphia PA 19103 Ph: (215) 854-1800 | Jevs Human Services 1521 Concord Pike Ste 301 Wilmington DE 19803-3644 Ph: (800) 610-7910 |
NPI Number | 1497257851 |
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Provider Enumeration Date | 03/01/2018 |
Last Update Date | 02/28/2024 |
Certification Date | 02/23/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1497257851 | NPI | - | NPPES |
A000000379 | Medicaid | DE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TA0700X | Psychologist - Adult Development & Aging | 2009105969 (Delaware) | Primary |
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