Healthcare Provider Details

I. General information

NPI: 1831222793
Provider Name (Legal Business Name): DELAWARE FAMILY CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/13/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3608 LANCASTER PIKE
WILMINGTON DE
19805-1509
US

IV. Provider business mailing address

3608 LANCASTER PIKE
WILMINGTON DE
19805-1509
US

V. Phone/Fax

Practice location:
  • Phone: 302-995-9600
  • Fax: 302-995-9571
Mailing address:
  • Phone: 302-995-9600
  • Fax: 302-995-9571

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TP2701X
TaxonomyGroup Psychotherapy Psychologist
License Number
License Number StateDE

VIII. Authorized Official

Name: DR. FRAN DIDOMENICIS
Title or Position: PSYCHOLOGIST
Credential: PH D
Phone: 302-995-9600