| Self Realization | |
|
507 Lilac Dr Middletown DE 19709-8639 | |
| (302) 312-8221 | |
| (302) 378-9128 |
| Full Name | Self Realization |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 507 Lilac Dr, Middletown, Delaware |
| Authorized Official Name and Position | Earl Eugene Walker (OWNER, PRESIDENT) |
| Authorized Official Contact | 3023128221 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Self Realization 507 Lilac Dr Middletown DE 19709-8639 Ph: (302) 312-8221 | Self Realization 507 Lilac Dr Middletown DE 19709-8639 Ph: (302) 312-8221 |
| NPI Number | 1487778247 |
|---|---|
| Provider Enumeration Date | 03/19/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487778247 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | B1-0000757 (Delaware) | Primary |
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