| Colleen Butcher, | |
|
1600 Rockland Rd, Wilmington, DE 19803 | |
| (302) 651-4200 | |
| Not Available |
| Full Name | Colleen Butcher |
|---|---|
| Gender | Female |
| Speciality | Psychologist - Clinical Child & Adolescent |
| Location | 1600 Rockland Rd, Wilmington, Delaware |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467845495 | NPI | - | NPPES |
| 0640867 | Medicaid | NJ | |
| 193534800 | Medicaid | MD | |
| 103268468 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC2200X | Psychologist - Clinical Child & Adolescent | B1-0001147 (Delaware) | Primary |
| Entity Name | West Virginia University Medical Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275504508 PECOS PAC ID: 1052224565 Enrollment ID: O20031111000207 |
| Mailing Address | Practice Location Address |
|---|---|
| Colleen Butcher, Po Box 191, Rockland, DE 19732-0191 Ph: () - | Colleen Butcher, 1600 Rockland Rd, Wilmington, DE 19803 Ph: (302) 651-4200 |
Dr. Mary Iampietro, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1600 Rockland Rd, Wilmington, DE 19803 Phone: 302-651-4200 | |
Sergio Oliva, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1311 Brandywine Blvd, Wilmington, DE 19809 Phone: 302-793-5072 Fax: 302-765-1996 | |
Celia Teira Serrano, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1502 Spruce Ave, Wilmington, DE 19805 Phone: 302-552-3797 | |
Ms. Margaret Mary Graney, CADC Psychologist Medicare: Not Enrolled in Medicare Practice Location: 625 N Orange St, Wilmington, DE 19801 Phone: 302-656-4044 Fax: 302-656-3439 | |
Dr. Lisa Deleonardo, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 5301 Limestone Rd, Suite 102, Wilmington, DE 19808 Phone: 302-234-3443 Fax: 302-234-1017 | |
Dr. Darren Lee Whaley, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1521 Concord Pike Ste 103, Wilmington, DE 19803 Phone: 302-428-0205 Fax: 302-428-1123 | |
Danielle Gentile, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1311 Brandywine Blvd, Wilmington, DE 19809 Phone: 302-793-5073 |