Individual
SHEILA WORTHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
109 CENTRAL AVE, NEW CASTLE, DE 19720-5914
(267) 777-0784
Mailing address
109 CENTRAL AVE, NEW CASTLE, DE 19720-5914
(267) 777-0784
Taxonomy
Speciality
Code
Description
License number
State
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
250484951
—
DE
Enumeration date
11/13/2020
Last updated
11/13/2020
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