Individual
WALLESCA P CASTRO RODRIGUEZ SUBASIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
300 CREEK VIEW RD # 100, NEWARK, DE 19711-8546
(302) 307-3702
Mailing address
15 BROOKRIDGE LN, NEWARK, DE 19711-2952
(302) 750-7602
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
B2-0010476
DE
Other
Enumeration date
10/12/2023
Last updated
10/12/2023
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