Individual
SERGIO OLIVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1311 BRANDYWINE BLVD, WILMINGTON, DE 19809-2306
(302) 793-5072
(302) 765-1996
Mailing address
1311 BRANDYWINE BLVD, WILMINGTON, DE 19809-2306
(302) 793-5072
(302) 765-1996
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
83394
DE
Other
Enumeration date
11/17/2016
Last updated
02/06/2017
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