Individual
TRACEY ROBINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
210 W 38TH ST, WILMINGTON, DE 19802-2108
(302) 981-3826
Mailing address
210 W 38TH ST, WILMINGTON, DE 19802-2108
Taxonomy
Speciality
Code
Description
License number
State
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
250568391
—
DE
Enumeration date
12/09/2020
Last updated
12/09/2020
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