Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Intellectual & Developmental Disabilities |
103TM1800X | 62 | Psychologist, Clinical | |
Rehabilitation |
103TR0400X | 62 | Psychologist, Clinical |
| NPI # | 1164002192 |
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| LBN Legal business name | THE ARC OF DELAWARE | ||||||||||||||||||||
| Authorized official | TINA SIMPKINS - (SENIOR STAFF ACCOUNTANT) | ||||||||||||||||||||
| Entity | Organization | ||||||||||||||||||||
| Organization subpart 1 | No | ||||||||||||||||||||
| Enumeration date | 04/13/2021 | ||||||||||||||||||||
| Last updated | 04/13/2021 - About 5 years ago | ||||||||||||||||||||
| Identifiers |
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