Zaback, Charlotte Pearl

Zaback, Charlotte Pearl is an individual health care provider with primary practice located at 148 S Bradford St , Dover DE 19904-7318. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Zaback, Charlotte Pearl can be contacted via phone (302) 736-1820.

Contact Information

Primary practice address
148 S Bradford St Dover DE 19904-7318
Phone: (302) 736-1820
Fax: (302) 736-5016
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 0000004 Delaware

Profile Details

NPI number 1134164536
LBN Legal business name Zaback, Charlotte Pearl
Credentials PH.D. L.P.C.
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 19th, 2006
Last updated Sep 6th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134164536 NPPES
Delaware MEDICAID 0000882067

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