Priscilla Bestman

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

NPI 1902403496 · NPPES record last updated Oct 7, 2020

Key facts

NPI
1902403496
Entity type
Individual (NPI type 1)
Primary specialty
Intellectual & Developmental Disabilities Psychologist 103TM1800X
Practice address
17 Halifax LN
Smyrna, DE 19977-4539
Phone
(302) 573-1231
NPI assigned
Oct 7, 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)CodeLicenseStatePrimary
Intellectual & Developmental Disabilities Psychologist 103TM1800X DE Yes

Addresses

Primary practice location

17 Halifax LN
Smyrna, DE 19977-4539

Mailing address

17 Halifax LN
Smyrna, DE 19977-4539

Other identifiers

IdentifierTypeStateIssuer
000000613MedicaidDE

Other providers in Smyrna, DE

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

Sources for this page

Verify at the official NPI Registry.