Individual
DR. DAVID V. SHESLOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
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
B10000121
DE
2080P0006X
Developmental - Behavioral Pediatrics Physician
B10000121
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001456192
—
PA
05
—
0499510
—
MD
05
—
1712972
—
NY
05
—
5646600
—
NJ
Enumeration date
09/29/2006
Last updated
09/10/2011
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