Individual
BRENDA ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
26 KATHLEEN CT, CAMDEN, DE 19934-4740
(302) 573-1231
Mailing address
26 KATHLEEN CT, CAMDEN, DE 19934-4740
Taxonomy
Speciality
Code
Description
License number
State
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary
—
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000000539
—
DE
Enumeration date
09/30/2020
Last updated
03/13/2025
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