Individual
MARY HEIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 TYRE AVE, NEWARK, DE 19711-7136
(302) 454-2047
(302) 454-5443
Mailing address
200 TYRE AVE, NEWARK, DE 19711-7136
(302) 454-2047
(302) 454-5443
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
12556
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000038516
—
DE
Enumeration date
03/07/2008
Last updated
03/07/2008
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