Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TS0200X | School Psychologist | 18698 | DE |
NPI | 1073764288 |
---|---|
Provider Name | Mrs. Jennifer P Balkie |
First Address | Newark, DE 19711-7136 |
Second Address | Newark, DE 19711-7136 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/10/2008 |
Last Update Date | 18/01/2019 |