Healthcare Provider Details
I. General information
NPI: 1609219013
Provider Name (Legal Business Name): DR. DELIGHT, P.A.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/16/2013
Last Update Date: 07/15/2020
Certification Date: 07/15/2020
Deactivation Date:
Reactivation Date:
III. Provider practice location address
6671 W INDIANTOWN RD SUITE 50-396
JUPITER FL
33458-3991
US
IV. Provider business mailing address
6671 W INDIANTOWN RD SUITE 50-396
JUPITER FL
33458-3991
US
V. Phone/Fax
- Phone: 561-571-1075
- Fax: 888-981-5035
- Phone: 561-571-1075
- Fax: 888-981-5035
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 103TC0700X |
| Taxonomy | Clinical Psychologist |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 103TH0004X |
| Taxonomy | Health Psychologist |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 103TR0400X |
| Taxonomy | Rehabilitation Psychologist |
| License Number | |
| License Number State | |
| # 4 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103G00000X |
| Taxonomy | Clinical Neuropsychologist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
DELIGHT
C. A.
THOMPSON
Title or Position: PRESIDENT & CEO
Credential: PSYD, EDM
Phone: 561-571-1075