| Self Realization, Llc | |
|
102 Sleepy Hollow Dr Ste 200 Middletown DE 19709-5841 | |
| (302) 312-8221 | |
| Not Available |
| Full Name | Self Realization, Llc |
|---|---|
| Speciality | Psychologist - Health Service |
| Location | 102 Sleepy Hollow Dr, Middletown, Delaware |
| Authorized Official Name and Position | Earl Walker (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3023128221 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Self Realization, Llc 9 Morning Dew Dr Middletown DE 19709-2419 Ph: (302) 312-8221 | Self Realization, Llc 102 Sleepy Hollow Dr Ste 200 Middletown DE 19709-5841 Ph: (302) 312-8221 |
| NPI Number | 1487982880 |
|---|---|
| Provider Enumeration Date | 11/23/2009 |
| Last Update Date | 02/04/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487982880 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TH0100X | Psychologist - Health Service | B10000757 (Delaware) | Primary |
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