| Carol E Bouzoukis Phd | |
| 
					4001 Kennett Pike Suite 244 Greenville DE 19807-2315  | |
| (302) 777-1110 | |
| Not Available | 
| Full Name | Carol E Bouzoukis Phd | 
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health | 
| Location | 4001 Kennett Pike, Greenville, Delaware | 
| Authorized Official Name and Position | Carol Elaine Bouzoukis (SOLE PROPROETOR) | 
| Authorized Official Contact | 3027771110 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Carol E Bouzoukis Phd 4001 Kennett Pike Suite 244 Greenville DE 19807-2315 Ph: (302) 777-1110  | Carol E Bouzoukis Phd 4001 Kennett Pike Suite 244 Greenville DE 19807-2315 Ph: (302) 777-1110  | 
| NPI Number | 1225564966 | 
|---|---|
| Provider Enumeration Date | 05/01/2017 | 
| Last Update Date | 05/01/2017 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1225564966 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary | 
Christiana Care Health Services, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 50 Hillside Rd, Alexis I. Dupont High School, Greenville, DE 19807 Phone: 302-651-2626  |