| Thomas Barlee Llc | |
|
723 Lake Seymour Dr Middletown DE 19709-4665 | |
| (800) 000-0000 | |
| Not Available |
| Full Name | Thomas Barlee Llc |
|---|---|
| Speciality | Social Worker |
| Location | 723 Lake Seymour Dr, Middletown, Delaware |
| Authorized Official Name and Position | Al Berry (MANAGER) |
| Authorized Official Contact | 3867039084 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas Barlee Llc 723 Lake Seymour Dr Middletown DE 19709-4665 Ph: () - | Thomas Barlee Llc 723 Lake Seymour Dr Middletown DE 19709-4665 Ph: (800) 000-0000 |
| NPI Number | 1104608785 |
|---|---|
| Provider Enumeration Date | 10/18/2023 |
| Last Update Date | 10/18/2023 |
| Certification Date | 10/18/2023 |
| Medicare PECOS PAC ID | 0749638716 |
|---|---|
| Medicare Enrollment ID | O20231201000022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104608785 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Thomas Wilbert Barlee |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386386837 PECOS PAC ID: 1658729629 Enrollment ID: I20231201000025 |
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