| Oci | |
|
3030 Bowers Street Wilmington DE 19802 | |
| (302) 762-0300 | |
| (302) 762-8795 |
| Full Name | Oci |
|---|---|
| Speciality | Psychologist - Intellectual & Developmental Disabilities |
| Location | 3030 Bowers Street, Wilmington, Delaware |
| Authorized Official Name and Position | Bruce Patterson (VP OF METRO REGION) |
| Authorized Official Contact | 7034616140 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Oci 3030 Bowers Street Wilmington DE 19802 Ph: (302) 762-0300 | Oci 3030 Bowers Street Wilmington DE 19802 Ph: (302) 762-0300 |
| NPI Number | 1518036342 |
|---|---|
| Provider Enumeration Date | 11/07/2006 |
| Last Update Date | 09/11/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518036342 | NPI | - | NPPES |
| 1000032307 | Medicaid | DE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TM1800X | Psychologist - Intellectual & Developmental Disabilities | (Delaware) | Primary |
| 103TR0400X | Psychologist - Rehabilitation | (Delaware) | Secondary |
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