OrganizationActive
Autism Delaware
NPI 1326312885 · Intellectual & Developmental Disabilities Psychologist · Newark, DE
Provider details
- NPI number
- 1326312885
- Entity type
- Organization
- Primary specialty
- Intellectual & Developmental Disabilities PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Kim Rosebaum, Admin Biller(302) 224-6020
Specialties & taxonomies
Behavioral Health & Social Service Providers
Agencies
- Health Maintenance Organization302R00000X
Managed Care Organizations
- Rehabilitation Psychologist103TR0400X
Behavioral Health & Social Service Providers
Practice location
924 Old Harmony Rd
Suite 201
Newark, DE 19713-4184
Phone: (302) 224-6020
Fax: (302) 224-6017
Approximate (ZIP-level) locationGet directions
Mailing address
924 Old Harmony Rd
Newark, DE 19713-4186
Registry dates
- Enumerated
- 2012-03-01
- Last updated
- 2021-05-25
- Certified
- 2021-05-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.