Self Realization, LLC
NPI #1487982880 in Middletown, Delaware
Provider Information
- NPI Number
- 1487982880
- Entity Type
- Organization
- Organization Name
- Self Realization, LLC
- Primary Specialty
- Psychologist - Health Service
- Enumeration Date
- Nov 23, 2009
- Last Updated
- Feb 4, 2010
Practice Location
- Address
- 102 SLEEPY HOLLOW DR
- Address 2
- STE 200
- City
- Middletown
- State
- Delaware
- ZIP Code
- 19709-5841
- Phone
- (302) 312-8221
Authorized Official
- Name
- DR. EARL WALKER JR., ED.D.
- Title
- EXECUTIVE DIRECTOR
- Phone
- (302) 312-8221
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - Health Service — Health Service |
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