Organization
HEALTHSPAN PSYCHOLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAIA NOEDER PHD (PSYCHOLOGIST)
(302) 321-5330
Entity
Organization
Contact information
Practice address
1207 DELAWARE AVE # 4422, WILMINGTON, DE 19806-4743
(302) 321-5330
Mailing address
1207 DELAWARE AVE # 4422, WILMINGTON, DE 19806-4743
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1831574946
—
DE
Enumeration date
01/24/2025
Last updated
01/24/2025
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