Organization
REBECCA SMOLAK-KETTLEHAKE PSY D LLC
Active
Organization
REBECCA SMOLAK-KETTLEHAKE PSY D LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. REBECCA ANN SMOLAK-KETTLEHAKE PSY.D. (PSYCHOLOGIST)
(302) 261-6901
Entity
Organization
Contact information
Practice address
200 BIDDLE AVE, SUITE 105, NEWARK, DE 19702-3968
(302) 261-6901
(302) 365-6072
Mailing address
200 BIDDLE AVE, SUITE 105, NEWARK, DE 19702-3968
(302) 261-6901
(302) 365-6072
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
B1-0000893
DE
Other
Enumeration date
05/27/2015
Last updated
05/27/2015
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