Healthcare Provider Details

I. General information

NPI: 1801930706
Provider Name (Legal Business Name): DEANNA SMITH EYLER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/16/2007
Last Update Date: 09/01/2022
Certification Date: 09/01/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 PENNSYLVANIA AVE
CLAYMONT DE
19703-1200
US

IV. Provider business mailing address

1000 PENNSYLVANIA AVE
CLAYMONT DE
19703-1200
US

V. Phone/Fax

Practice location:
  • Phone: 302-792-3994
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number74449
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: