Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TS0200X | School Psychologist | DE |
NPI | 1013134527 |
---|---|
Provider Name | Mrs. Emily Klein |
First Address | New Castle, DE 19720-4214 |
Second Address | New Castle, DE 19720-4214 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/04/2007 |
Last Update Date | 26/07/2007 |