Healthcare Provider Details

I. General information

NPI: 1518292184
Provider Name (Legal Business Name): JESSICA GALEAS SCH. PSYCH.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/15/2009
Last Update Date: 10/15/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3100 HAWTHORNE DR
DOVER DE
19901-5391
US

IV. Provider business mailing address

219 OLD NORTH RD
CAMDEN DE
19934-1241
US

V. Phone/Fax

Practice location:
  • Phone: 302-674-9080
  • Fax:
Mailing address:
  • Phone: 302-697-2173
  • Fax: 302-697-3406

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number47575 DOE
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: