Healthcare Provider Details

I. General information

NPI: 1285352609
Provider Name (Legal Business Name): MILDRED APPIAH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/22/2022
Last Update Date: 08/22/2022
Certification Date: 08/22/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

148 MALCOLM FOREST RD
NEW CASTLE DE
19720-8746
US

IV. Provider business mailing address

148 MALCOLM FOREST RD
NEW CASTLE DE
19720-8746
US

V. Phone/Fax

Practice location:
  • Phone: 302-310-2665
  • Fax:
Mailing address:
  • Phone: 302-310-2665
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TM1800X
TaxonomyIntellectual & Developmental Disabilities Psychologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: