Individual
WENDY BOOKARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
236 E BRAEBURN DR, SMYRNA, DE 19977-3930
(302) 573-1231
Mailing address
718 ASHLAND AVE, CAMDEN-WYOMING, DE 19934-5429
Taxonomy
Speciality
Code
Description
License number
State
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary
—
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000000620
—
DE
Enumeration date
10/07/2020
Last updated
06/28/2024
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