Pike Creek Counseling | |
5618 Kirkwood Hwy Ste 2 Wilmington DE 19808-5004 | |
(302) 898-9229 | |
Not Available |
Full Name | Pike Creek Counseling |
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Speciality | Psychologist |
Location | 5618 Kirkwood Hwy Ste 2, Wilmington, Delaware |
Authorized Official Name and Position | Mitchell K Ruoff (PSYCHOLOGIST) |
Authorized Official Contact | 3028989229 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Pike Creek Counseling 5618 Kirkwood Hwy Ste 2 Wilmington DE 19808-5004 Ph: (302) 898-9229 | Pike Creek Counseling 5618 Kirkwood Hwy Ste 2 Wilmington DE 19808-5004 Ph: (302) 898-9229 |
NPI Number | 1558708065 |
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Provider Enumeration Date | 05/24/2013 |
Last Update Date | 01/06/2024 |
Certification Date | 01/06/2024 |
Medicare PECOS PAC ID | 5698918191 |
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Medicare Enrollment ID | O20130903000226 |
Identifier | Type | State | Issuer |
---|---|---|---|
1558708065 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | B1-0000496 (Delaware) | Primary |
Provider Name | Mitchell K Ruoff |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1194892216 PECOS PAC ID: 8527204304 Enrollment ID: I20130424000192 |
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