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Contact Information

PETA CLARKSON, MD
825 N WASHINGTON ST
WILMINGTON, DE19801-1509
 Phone: 302-655-7110
 Fax: 302-655-6185
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Child & Adolescent Psychiatry

2084P0804X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for PETA CLARKSON · (Female)

NPI Number 1588792501
Status Active
Credentials MD
Entity Individual
Enumeration date 03/01/2007
Last updated 07/09/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • DE License # C1-0007596
  • DE Medicaid 1000037785
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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