Individual
PHYLLIS PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
326 RUTHAR DR, NEWARK, DE 19711-8017
(302) 292-1463
Mailing address
47 CORDELE RD, NEWARK, DE 19711-5613
(908) 296-9961
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
100107
DE
Other
Enumeration date
06/19/2024
Last updated
06/19/2024
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