| Delta Behavioral Health Pllc | |
|
1606 Physicians Dr Ste 104 Wilmington NC 28401-7348 | |
| (910) 343-6890 | |
| (910) 332-1233 |
| Full Name | Delta Behavioral Health Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 1606 Physicians Dr Ste 104, Wilmington, North Carolina |
| Authorized Official Name and Position | Christina Vuocolo Hall (OFFICE MANAGER) |
| Authorized Official Contact | 9103436890 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Delta Behavioral Health Pllc 1606 Physicians Dr Ste 104 Wilmington NC 28401-7348 Ph: (910) 343-6890 | Delta Behavioral Health Pllc 1606 Physicians Dr Ste 104 Wilmington NC 28401-7348 Ph: (910) 343-6890 |
| NPI Number | 1619959871 |
|---|---|
| Provider Enumeration Date | 11/15/2005 |
| Last Update Date | 07/07/2011 |
| Medicare PECOS PAC ID | 0143324640 |
|---|---|
| Medicare Enrollment ID | O20070322000168 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619959871 | NPI | - | NPPES |
| 5900838 | Medicaid | NC | |
| 6005548 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Richard W Brice |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265475537 PECOS PAC ID: 8022006451 Enrollment ID: I20040504001473 |
| Provider Name | Benjamin Baldwin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1497756332 PECOS PAC ID: 9032145321 Enrollment ID: I20050708000409 |
| Provider Name | Joseph A Leblanc |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710962246 PECOS PAC ID: 3173557634 Enrollment ID: I20050923000290 |
| Provider Name | Paige S Houser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356466627 PECOS PAC ID: 4789776527 Enrollment ID: I20070823000824 |
| Provider Name | Robert Seigel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912043050 PECOS PAC ID: 9931295664 Enrollment ID: I20071011000093 |
| Provider Name | Brian D Williamson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265664486 PECOS PAC ID: 7113051301 Enrollment ID: I20100810000201 |
| Provider Name | Julie S Small |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174817381 PECOS PAC ID: 3678742467 Enrollment ID: I20140613002208 |
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