Healthcare Provider Details

I. General information

NPI: 1821665324
Provider Name (Legal Business Name): DEFY THERAPY SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/04/2021
Last Update Date: 10/21/2021
Certification Date: 10/21/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2213 BEAUMONT RD
WILMINGTON DE
19803-3016
US

IV. Provider business mailing address

2213 BEAUMONT RD
WILMINGTON DE
19803-3016
US

V. Phone/Fax

Practice location:
  • Phone: 302-404-4264
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QH0700X
TaxonomyHearing and Speech Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MRS. MARGARET MCCORMICK KALINEC
Title or Position: OWNER/SPEECH THERAPIST
Credential: CCC-SLP
Phone: 302-404-4264