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General NPI Number Information
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NPI Number | 1932404860
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Entity Type | Organization
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Legal Business Name | PSYCHOLOGICAL AND DIVORCE MEDIATION SERVICES INC
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Dates
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Enumeration Date | 01/25/2011
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Last Update Date | 01/22/2025
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Provider Practice Location Address
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Address Line | 1601 MILLTOWN RD STE 12
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City | WILMINGTON
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State | DE
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Zip | 19808-4084
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Country | US
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Telephone | 302-547-8479
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Fax |
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Provider Business Mailing Address
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Address Line | 1601 MILLTOWN RD STE 121601
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City | WILMINGTON
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State | DE
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Zip | 19808-4027
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Country | US
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Telephone | 302-547-8479
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Fax |
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Authorized Official
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Title or Position | PSYCHOLOGIST
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Name | DR. MARIA FRANGIA RAYIAS
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Credential | PH.D.
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Telephone | 302-547-8479
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | B1-0000367
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License Number State | DE
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