Individual
PRISCILLA BESTMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17 HALIFAX LN, SMYRNA, DE 19977-4539
(302) 573-1231
Mailing address
17 HALIFAX LN, SMYRNA, DE 19977-4539
Taxonomy
Speciality
Code
Description
License number
State
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary
—
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000000613
—
DE
Enumeration date
10/07/2020
Last updated
10/07/2020
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