| Pike Creek Psychological Center | |
|
8 Polly Drummond Hill Rd Newark DE 19711-5703 | |
| (302) 738-6859 | |
| (302) 368-5309 |
| Full Name | Pike Creek Psychological Center |
|---|---|
| Speciality | Massage Therapist |
| Location | 8 Polly Drummond Hill Rd, Newark, Delaware |
| Authorized Official Name and Position | Jd Willetts (DIRECTOR) |
| Authorized Official Contact | 3027386859 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pike Creek Psychological Center 8 Polly Drummond Hill Rd Newark DE 19711-5703 Ph: (302) 738-6859 | Pike Creek Psychological Center 8 Polly Drummond Hill Rd Newark DE 19711-5703 Ph: (302) 738-6859 |
| NPI Number | 1255407698 |
|---|---|
| Provider Enumeration Date | 11/28/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 4385899855 |
|---|---|
| Medicare Enrollment ID | O20130307000147 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255407698 | NPI | - | NPPES |
| Provider Name | Richard Holmes |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1467529065 PECOS PAC ID: 4880508910 Enrollment ID: I20101229000013 |
| Provider Name | Judith K Willetts |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1013084805 PECOS PAC ID: 3274788740 Enrollment ID: I20130419000337 |
| Provider Name | Vicki D Tillman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1558439992 PECOS PAC ID: 3678926300 Enrollment ID: I20240130001773 |
| Provider Name | Josephine M Firstbrook |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1669252557 PECOS PAC ID: 6305289950 Enrollment ID: I20240210000089 |
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