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NPI Code Detail

MEDICARE: CASEY PAULINE OBSTFELD LPCMH

MEDICARE: CASEY PAULINE OBSTFELD LPCMH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor005582NY
2101YM0800XMental Health CounselorPC-0000696DE

General Provider Information

NPI Number : 1053709238
Entity Type Code : Individual
Provider Name (Legal Business Name) : CASEY PAULINE OBSTFELD LPCMH
Provider Business Mailing Address
First Line : 900 PHILADELPHIA PIKE
Second Line :
City : WILMINGTON
State : DE
Zip : 19809-2280
Country : US
Telephone Number : 302-797-1233
Fax Number : 302-416-5793
Provider Business Practice Location Address
First Line : 900 PHILADELPHIA PIKE
Second Line :
City : WILMINGTON
State : DE
Zip : 19809
Country : US
Telephone Number : 302-256-0170
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/22/2014
Last Update Date : 06/03/2026

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Directions to “ CASEY PAULINE OBSTFELD LPCMH” Practice Location

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