# HEALTHSPAN PSYCHOLOGY LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770395832
- **Authorized official:** MAIA NOEDER PHD (PSYCHOLOGIST)
- **Authorized official phone:** (302) 321-5330

## Contact information

- **Practice address:** 1207 DELAWARE AVE \# 4422, WILMINGTON, DE 19806-4743
- **Practice address phone:** (302) 321-5330
- **Mailing address:** 1207 DELAWARE AVE \# 4422, WILMINGTON, DE 19806-4743

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 01/24/2025
- **Last updated:** 01/24/2025