Individual
LINDA JEWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
20604 PIGLET PATH, GEORGETOWN, DE 19947-4102
(302) 573-1247
Mailing address
20604 PIGLET PATH, GEORGETOWN, DE 19947-4102
(302) 573-1247
Taxonomy
Speciality
Code
Description
License number
State
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000000582
—
DE
Enumeration date
11/23/2020
Last updated
11/23/2020
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