Individual
DR. MARK RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D
Contact information
Practice address
1301 E 12TH ST, WILMINGTON, DE 19802-5315
(302) 429-7780
Mailing address
1114 S DUPONT HWY, SUITE 104, DOVER, DE 19901-4401
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
B1-0000989
DE
103TC0700X
Clinical Psychologist
PS017632
PA
Other
Enumeration date
02/29/2016
Last updated
02/29/2016
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