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ATLANTIC PSYCH ASSOCIATES LLC NPI 1457491656


NPI Information

NPI: 1457491656
Provider Name: ATLANTIC PSYCH ASSOCIATES, LLC
Classification: Psychologist - 103TC0700X
Entity Type: Organization

Specialization: Clinical

CLIA Number: 08D2149483

Address:
1518 SAVANNAH RD
LEWES, DE
ZIP 19958
Phone: (302) 448-4266
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ATLANTIC PSYCH ASSOCIATES, LLC is a clinical psychologist in Lewes, DE. The provider is a psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. ATLANTIC PSYCH ASSOCIATES, LLC NPI is 1457491656. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1518 SAVANNAH RD
LEWES, DE
ZIP 19958
Phone: (302) 448-4266
Fax: (302) 448-4193

The provider's authorized official is Mary Vaughn Moor .
The authorized official title is Owner/practitioner and has the following contact phone number (302) 448-4266.

The CLIA number assigned to this NPI record is 08D2149483 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/7/2007 and was last updated on 2/15/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103T00000XPsychologistNo
22084P0800XPsychiatry & NeurologyPsychiatryNo
3103TC0700XPsychologistClinicalYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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