Devereux, Nancy M

Devereux, Nancy M is an individual health care provider with primary practice located at 501 West 14Th Street 6Th Floor, Wilmington DE 19801. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is her primary health care specialty. Devereux, Nancy M can be contacted via phone (302) 428-6756.

Contact Information

Primary practice address
501 West 14Th Street 6Th Floor Wilmington DE 19801
Phone: (302) 428-6756
Fax: (302) 428-6750
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 071005310 Illinois
Behavioral Health & Social Service Providers / Clinical 103TC0700X 071005310 Illinois
Behavioral Health & Social Service Providers / Psychologist 103T00000X B1-0001049 Delaware
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X B1-0001049 Delaware

Profile Details

NPI number 1174681209
LBN Legal business name Devereux, Nancy M
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 4th, 2006
Last updated Mar 24th, 2016 - about 9 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 1174681209 NPPES
Illinois Other 363236791 TAX ID

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