=====================================================
General NPI Number Information
=====================================================
NPI Number | 1003710716
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | TARRAYE K. STURGIS
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/06/2026
-----------------------------------------------------
Last Update Date | 10/06/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 550 S DUPONT BLVD STE F
-----------------------------------------------------
City | MILFORD
-----------------------------------------------------
State | DE
-----------------------------------------------------
Zip | 19963-1704
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 302-422-2888
-----------------------------------------------------
Fax | 302-422-3888
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 550 S DUPONT BLVD STE F
-----------------------------------------------------
City | MILFORD
-----------------------------------------------------
State | DE
-----------------------------------------------------
Zip | 19963-1704
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 302-422-2888
-----------------------------------------------------
Fax | 302-422-3888
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 104100000X
-----------------------------------------------------
Taxonomy Name | Social Worker
-----------------------------------------------------
License Number | Q3-0011664
-----------------------------------------------------
License Number State | DE
-----------------------------------------------------