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08D0206263 CLIA NUMBER - LIMESTONE MEDICINE AND PEDIATRICS OF CCHS

Laboratory Demographics

CLIA Number: 08D0206263

Facility Name: LIMESTONE MEDICINE AND PEDIATRICS OF CCHS

Facility Address:
4512 KIRKWOOD HIGHWAY SUITE 300
WILMINGTON, DE
ZIP 19808
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Facility Phone Number: 302 623-7500

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1831238583

Taxonomy: 103T00000X - Psychologist
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

CLIA Record

Field Name Field Value
CLIA Number 08D0206263
LAB Type Physician Office
Facility Name LIMESTONE MEDICINE AND PEDIATRICS OF CCHS
Street 4512 KIRKWOOD HIGHWAY SUITE 300
City WILMINGTON
State DE
ZIP 19808
Phone 302 623-7500
CertificateType 4
CertificateEffectiveDate 9/14/2022
CertificateExpirationDate 9/13/2024
FacilityType Waiver

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This page was last updated on: 4/23/2024