Jennifer P Balkie
Individual provider Active NPI School Psychologist · Newark, DE
NPI 1073764288 · NPPES record last updated Jan 18, 2019
Key facts
- NPI
- 1073764288
- Entity type
- Individual (NPI type 1)
- Primary specialty
- School Psychologist 103TS0200X
- License
- 18698 (DE)
- Practice address
- 200 Tyre Ave
Newark, DE 19711-7136 - Phone
- (302) 454-2047
- Fax
- (302) 454-5442
- NPI assigned
- Oct 7, 2008
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18698 | DE | MD | School Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 18698 | DE | Yes |
Addresses
Primary practice location
200 Tyre Ave
Newark, DE 19711-7136
Mailing address
200 Tyre Ave
Newark, DE 19711-7136
Phone (302) 454-2047
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All providers in Newark, DE · School Psychologist in Delaware
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 18, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.