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First State Employment Services

Psychologist, Rehabilitation in Wilmington, DE. Organization (NPI-2).

NPI number1023508322
StatusActive
Last updated in NPPESMay 14, 2018

Details

NPI
1023508322
Entity type
Organization (NPI-2)
Legal business name
First State Employment Services
Organization subpart
No
Enumeration date
May 14, 2018
Last updated
May 14, 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 codeDescriptionLicenseStatePrimary
103TR0400X Psychologist, Rehabilitation––Yes

Practice location

524 Harlan Blvd
Wilmington, DE 19801-5166

Phone 302-250-5883 · Fax 302-984-3329

Mailing address

524 Harlan Blvd
Wilmington, DE 19801-5166

Phone 302-250-5883 · Fax 302-984-3329

Authorized official

Clinton Gangloff
President And Ceo
3023830191

Is something wrong?

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.

Other Rehabilitation Psychologist providers in Wilmington, DE

All 5 Rehabilitation Psychologist providers in Wilmington · All 8,243 providers in Wilmington

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