Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TS0200X | School Psychologist | 90418 | DE |
NPI | 1093288151 |
---|---|
Provider Name | Ms. Heather Elizabeth Vanstolk |
First Address | Newport, DE 19804-2700 |
Second Address | Wilmington, DE 19805-2148 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/01/2019 |
Last Update Date | 10/01/2019 |