Dr. Mary Iampietro, Ph.D.
Psychologist, Clinical Child & Adolescent in Wilmington, DE. Individual provider (NPI-1).
NPI number1003211277
StatusActive
Last updated in NPPESNov 6, 2018
Details
- NPI
- 1003211277
- Entity type
- Individual (NPI-1)
- Name
- Dr. Mary Iampietro
- Credential
- Ph.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 29, 2014
- Last updated
- Nov 6, 2018
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC2200X | Psychologist, Clinical Child & Adolescent | PS018565 | PA | Yes |
| 103TC2200X | Psychologist, Clinical Child & Adolescent | 35SI00570900 | NJ | |
| 103TC2200X | Psychologist, Clinical Child & Adolescent | B10001073 | DE | |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
1600 Rockland RdWilmington, DE 19803-3607
Phone 302-651-4200
Mailing address
3401 Civic Center BlvdPhiladelphia, PA 19104-4319
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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