Individual
ABDEL SACCOH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
630 S BROWNLEAF RD, NEWARK, DE 19713-3554
(302) 230-1752
Mailing address
630 S BROWNLEAF RD, NEWARK, DE 19713-3554
(302) 230-1752
Taxonomy
Speciality
Code
Description
License number
State
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary
—
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
250568418
—
DE
Enumeration date
10/13/2020
Last updated
10/13/2020
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