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NPI Code Detail

MEDICARE: DARLENE CUNNINGHAM

MEDICARE: DARLENE CUNNINGHAM
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
1103TM1800XIntellectual & Developmental Disabilities PsychologistDE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1740897073
Entity Type Code : Individual
Provider Name (Legal Business Name) : DARLENE CUNNINGHAM
Provider Business Mailing Address
First Line : 128 GLENN FOREST RD
Second Line :
City : MAGNOLIA
State : DE
Zip : 19962-1702
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 128 GLENN FOREST RD
Second Line :
City : MAGNOLIA
State : DE
Zip : 19962-1702
Country : US
Telephone Number : 302-573-1231
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/30/2020
Last Update Date : 09/30/2020

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Directions to “ DARLENE CUNNINGHAM ” Practice Location

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