Healthcare Provider Details

I. General information

NPI: 1164002192
Provider Name (Legal Business Name): THE ARC OF DELAWARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/13/2021
Last Update Date: 04/13/2021
Certification Date: 04/13/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 S AUGUSTINE ST STE B
WILMINGTON DE
19804-2504
US

IV. Provider business mailing address

2 S AUGUSTINE ST STE B
WILMINGTON DE
19804-2504
US

V. Phone/Fax

Practice location:
  • Phone: 302-996-9400
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TM1800X
TaxonomyIntellectual & Developmental Disabilities Psychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103TR0400X
TaxonomyRehabilitation Psychologist
License Number
License Number State

VIII. Authorized Official

Name: TINA SIMPKINS
Title or Position: SENIOR STAFF ACCOUNTANT
Credential:
Phone: 302-966-9400