| Play Therapy Delaware | |
|
4001 Kennett Pike Suite 244 Greenville DE 19807-2315 | |
| (302) 777-1110 | |
| Not Available |
| Full Name | Play Therapy Delaware |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 4001 Kennett Pike, Greenville, Delaware |
| Authorized Official Name and Position | Carol Elaine Bouzoukis (SOLE PROPROETOR) |
| Authorized Official Contact | 3027771110 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Play Therapy Delaware 4001 Kennett Pike Suite 244 Greenville DE 19807-2315 Ph: (302) 777-1110 | Play Therapy Delaware 4001 Kennett Pike Suite 244 Greenville DE 19807-2315 Ph: (302) 777-1110 |
| NPI Number | 1225564966 |
|---|---|
| Provider Enumeration Date | 05/01/2017 |
| Last Update Date | 05/01/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225564966 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
Cchs Wellness Ctr - Ai Dupont Hs Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 50 Hillside Rd, Alexis I. Dupont High School, Greenville, DE 19807 Phone: 302-651-2626 |