Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP2500X | Professional Counselor | PC-0000538 | DE |
NPI | 1003114356 |
---|---|
Provider Name | Lindley Thomas |
First Address | Wilmington, DE 19810-3307 |
Second Address | Newark, DE 19713-3413 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/03/2011 |
Last Update Date | 10/03/2011 |