Individual
ALICIA DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
201 VALLEY RUN, SEAFORD, DE 19973-4837
(302) 381-1479
Mailing address
201 VALLEY RUN, SEAFORD, DE 19973-4837
(302) 381-1479
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
103T00000X
Psychologist
—
—
103TA0700X
Adult Development & Aging Psychologist
—
—
103TF0000X
Family Psychologist
—
—
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary
—
—
104100000X
Social Worker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
236
—
DE
Enumeration date
01/14/2025
Last updated
02/04/2025
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