Individual
ELYSSA RAE DEEB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SCHOOL PSYCHOLOGIST
Contact information
Practice address
906 LAKEVIEW AVE, MILFORD, DE 19963-1732
(302) 422-1600
Mailing address
21370 CATALINA CIR, REHOBOTH BEACH, DE 19971-4807
(484) 375-5335
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
100341
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100341
STATE OF DELAWARE DEPARTMENT OF EDUCATION INITIAL LICENSE
DE
Enumeration date
09/03/2019
Last updated
09/03/2019
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