Individual
DR. JOHN WILLIAM DETTWYLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
5301 LIMESTONE RD, SUITE 103, WILMINGTON, DE 19808-1250
(302) 234-8982
(302) 234-8984
Mailing address
5301 LIMESTONE RD, SUITE 103, WILMINGTON, DE 19808-1250
(302) 234-8982
(302) 234-8984
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
B10000210
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000621543
—
DE
05
—
1000025979
—
DE
Enumeration date
11/14/2006
Last updated
07/08/2007
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