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Individual

DR. ROCHELLE A. GLIDDEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PSY.D.

Contact information

Practice address
A.I. DUPONT HOSPITAL FOR CHILDREN, 1600 ROCKLAND ROAD, WILMINGTON, DE 19803-3607
(302) 651-4000
(302) 651-4945
Mailing address
PO BOX 191, PROVIDER ENROLLMENT DEPT, ROCKLAND, DE 19732-0191
(302) 651-6212
(302) 651-4945

Taxonomy

Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
B10000594
DE
2080P0006X
Developmental - Behavioral Pediatrics Physician
B10000594
DE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1875242
PA
05
6993443
MD
05
8685401
NJ
Enumeration date
09/29/2006
Last updated
09/19/2011
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