Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TS0200X | School Psychologist | 70551 | DE |
NPI | 1063841906 |
---|---|
Provider Name | Rose Agovino |
First Address | New Castle, DE 19720-1236 |
Second Address | New Castle, DE 19720-1236 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/11/2013 |
Last Update Date | 01/11/2013 |