Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TS0200X | School Psychologist | 78099 | DE |
NPI | 1023414422 |
---|---|
Provider Name | Danielle Gentile |
First Address | Wilmington, DE 19809-2306 |
Second Address | Wilmington, DE 19809-2306 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/11/2014 |
Last Update Date | 12/11/2014 |