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Contact Information

JOHN W DETTWYLER, PhD
5301 LIMESTONE RD
SUITE 103
WILMINGTON, DE19808-1250
 Phone: 302-234-8982
 Fax: 302-234-8984
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for JOHN W DETTWYLER · (Male)

NPI # 1982776324
Status Active
Credentials PhD
Entity Individual
Enumeration date 11/14/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • DE License # B10000210
  • DE Medicaid 0000621543
  • DE Medicaid 1000025979
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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