| Juanita Brisco, | |
|
28291 Fisher Rd, Milton, DE 19968-3273 | |
| (302) 573-1247 | |
| Not Available |
| Full Name | Juanita Brisco |
|---|---|
| Gender | Female |
| Speciality | Psychologist - Intellectual & Developmental Disabilities |
| Location | 28291 Fisher Rd, Milton, Delaware |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659974087 | NPI | - | NPPES |
| 250568415 | Medicaid | DE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TM1800X | Psychologist - Intellectual & Developmental Disabilities | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Juanita Brisco, 28291 Fisher Rd, Milton, DE 19968-3273 Ph: (302) 573-1247 | Juanita Brisco, 28291 Fisher Rd, Milton, DE 19968-3273 Ph: (302) 573-1247 |
Richard Leroy Todd, PH.D Psychologist Medicare: Accepting Medicare Assignments Practice Location: 28312 Lewes Georgetown Hwy, Milton, DE 19968 Phone: 302-853-0559 Fax: 302-231-2086 | |
Lisa Lindsay, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1303 Palmer Street Ext, Milton, DE 19968 Phone: 302-573-1247 |