Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103TB0200X | Cognitive & Behavioral Psychologist | B1-0000915 | DE |
Y | 103G00000X | Clinical Psychologist | B1-0000915 | DE |
Y | 103TC0700X | Clinical Psychologist | B1-0000915 | DE |
N | 103TC2200X | Clinical Child & Adolescent Psychologist | B1-0000915 | DE |
NPI | 1023352044 |
---|---|
Provider Name | Dr. Darren Lee Whaley |
First Address | Wilmington, DE 19803-3614 |
Second Address | Wilmington, DE 19803-3614 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/11/2012 |
Last Update Date | 15/11/2012 |