Individual
COLLEEN BUTCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1600 ROCKLAND RD, WILMINGTON, DE 19803
(302) 651-4200
Mailing address
PO BOX 191, ROCKLAND, DE 19732-0191
(302) 651-4945
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
B1-0001147
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0640867
—
NJ
05
—
103268468
—
PA
05
—
193534800
—
MD
Enumeration date
03/16/2015
Last updated
01/30/2019
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