Sandra Brittingham
Individual provider Active NPI Intellectual & Developmental Disabilities Psychologist · Delmar, DE
NPI 1669075792 · NPPES record last updated Nov 20, 2020
Key facts
- NPI
- 1669075792
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Intellectual & Developmental Disabilities Psychologist 103TM1800X
- Practice address
- 12691 Line Rd
Delmar, DE 19940-2438 - Phone
- (302) 745-1050
- NPI assigned
- Nov 20, 2020
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual & Developmental Disabilities Psychologist | 103TM1800X | Yes |
Addresses
Primary practice location
12691 Line Rd
Delmar, DE 19940-2438
Mailing address
12691 Line Rd
Delmar, DE 19940-2438
Phone (302) 745-1050
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000689 | Medicaid | DE |
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- Maria Carilli
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- Wendy Corkran
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All providers in Delmar, DE · Intellectual & Developmental Disabilities 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 Nov 20, 2020. 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.