Cecilia L Jabathy

Individual provider Active NPI Intellectual & Developmental Disabilities Psychologist · Magnolia, DE

NPI 1134870975 · NPPES record last updated Jan 13, 2022

Key facts

NPI
1134870975
Entity type
Individual (NPI type 1)
Primary specialty
Intellectual & Developmental Disabilities Psychologist 103TM1800X
Practice address
231 Golder St
Magnolia, DE 19962-2407
Phone
(267) 912-4530
NPI assigned
Jan 13, 2022
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual & Developmental Disabilities Psychologist 103TM1800X DE Yes

Addresses

Primary practice location

231 Golder St
Magnolia, DE 19962-2407

Mailing address

231 Golder St
Magnolia, DE 19962-2407

Other providers in Magnolia, DE

All providers in Magnolia, DE · Intellectual & Developmental Disabilities Psychologist in Delaware

Sources for this page

Verify at the official NPI Registry.