| Psychotherapeutic Services Inc | |
|
630 W. Division St Suite F Dover DE 19904 | |
| (302) 672-7159 | |
| (302) 672-7178 |
| Full Name | Psychotherapeutic Services Inc |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 630 W. Division St, Dover, Delaware |
| Authorized Official Name and Position | Randall L Cooper (CFO) |
| Authorized Official Contact | 4107789114 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychotherapeutic Services Inc 870-2 High Street Chestertown MD 21620 Ph: (410) 778-9114 | Psychotherapeutic Services Inc 630 W. Division St Suite F Dover DE 19904 Ph: (302) 672-7159 |
| NPI Number | 1417192584 |
|---|---|
| Provider Enumeration Date | 12/03/2008 |
| Last Update Date | 12/03/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417192584 | NPI | - | NPPES |
| 0000520561 | Medicaid | DE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | 106301 (Delaware) | Primary |
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