Individual
EMILY TOLLIVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1502 SPRUCE AVE, WILMINGTON, DE 19805-2148
(302) 552-3777
Mailing address
1502 SPRUCE AVE, WILMINGTON, DE 19805-2148
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
99999999999999999999
—
DE
Enumeration date
03/25/2019
Last updated
03/25/2019
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