Jillian E Dzurnak, SCHOOL PSYCHOLOGIST
Individual provider Active NPI School Psychologist · Selbyville, DE
NPI 1306186655 · NPPES record last updated Jul 18, 2017
Key facts
- NPI
- 1306186655
- Entity type
- Individual (NPI type 1)
- Primary specialty
- School Psychologist 103TS0200X
- License
- 63496 (DE)
- Practice address
- 31 Hosier St
Selbyville, DE 19975-9300 - Phone
- (302) 856-4783
- Fax
- (302) 856-4784
- NPI assigned
- Feb 25, 2013
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
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 |
|---|---|---|---|
| 63496 | DE | MD | School Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| State of Delaware | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 63496 | DE | Yes |
Addresses
Primary practice location
31 Hosier St
Selbyville, DE 19975-9300
Mailing address
31 Hosier St
Selbyville, DE 19975-9300
Phone (302) 436-1000
Other providers in Selbyville, DE
- Gwendolyn Devivo
- Sarah Katelyn Dibuo
- Sally Hamel Dowling
- Gloria Duffy
- Dynamic Therapy Services, LLC
- Courtney Ferracci
- Clarence Fiedler
- Ronald E. Finelli
- Jarvia Lynn Fishell
- Gia Francesca Fontanazza
All providers in Selbyville, 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 Jul 18, 2017. 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.