Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TS0200X | School Psychologist | DE |
NPI | 1013427822 |
---|---|
Provider Name | Fatimah Rasul-Pettigrew |
First Address | Smyrna, DE 19977-4024 |
Second Address | Bear, DE 19701-1323 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/10/2017 |
Last Update Date | 06/10/2017 |