| Mbue Health | |
|
651 N Broad St Ste 2527 Middletown DE 19709-6400 | |
| (917) 745-3263 | |
| Not Available |
| Full Name | Mbue Health |
|---|---|
| Speciality | Psychologist |
| Location | 651 N Broad St Ste 2527, Middletown, Delaware |
| Authorized Official Name and Position | William H. Smith (FOUNDER) |
| Authorized Official Contact | 9177453263 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mbue Health 651 N Broad St Ste 2527 Middletown DE 19709-6400 Ph: (917) 745-3263 | Mbue Health 651 N Broad St Ste 2527 Middletown DE 19709-6400 Ph: (917) 745-3263 |
| NPI Number | 1063162402 |
|---|---|
| Provider Enumeration Date | 03/28/2022 |
| Last Update Date | 06/09/2023 |
| Certification Date | 06/09/2023 |
| Medicare PECOS PAC ID | 6507223369 |
|---|---|
| Medicare Enrollment ID | O20230609000752 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063162402 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TF0000X | Psychologist - Family | (* (Not Available)) | Primary |
| Provider Name | Mia S Dorman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437481488 PECOS PAC ID: 3870827009 Enrollment ID: I20190621002641 |
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