CHARLESETTA WAHLO (NPI# 1508463241) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508463241 |
| Entity Type | Individual |
| Full Name | CHARLESETTA WAHLO |
| Practice Address |
231 Azalea Dr Smyrna DE 19977-5280 |
| Practice Telephone | 3025731231 |
| Enumeration Date | 2020-10-06 |
| Last Update Date | 2020-10-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TM1800X |
Psychologist Specialization: Mental Retardation & Developmental Disabilities |
DE | Behavioral Health & Social Service Providers |
| Street Address |
231 AZALEA DR |
| City | SMYRNA |
| State | DE |
| Zip Code | 19977-5280 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477195857 | Nicola Dwyer | Licensed Practical Nurse | 121 Balamor Ct, Smyrna, DE 19977 | 2019-10-17 |
| 1487202982 | Steps 2 Wellness, LLC | Nurse Practitioner | 229 N Main Street, Smyrna, DE 19977 | 2019-08-28 |
| 1609423813 | Nu Beginning Center, LLC | Community/Behavioral Health | 229 North Main Street, Smyrna, DE 19977 | 2019-08-22 |
| 1467959593 | Cimi Behavior Analytic Solutions | Behavioral Analyst | 329 Garrisons Lake Blvd, Smyrna, DE 19977 | 2018-04-05 |
| 1548795859 | Connections Community Support Programs, Inc. | Clinic/Center | 350 N. High Street Extension, Smyrna, DE 19977 | 2017-04-24 |
| 1912352782 | Elizabeth Soleh Kerkula | Registered Nurse | 611 Providence Drive, Smyrna, DE 19977 | 2016-04-29 |
| 1780075218 | Life Force Caregivers, Inc. | Custodial Care Facility | 127 E. Glenwood Ave., Smyrna, DE 19977 | 2015-02-05 |
| 1164826707 | Naomi Ruth Thomas | Registered Nurse | 654 Brenford Station Road, Smyrna, DE 19977 | 2014-10-10 |
| 1104164524 | Christianacare Health Systems | Clinic/Center | 100 Sunnyside Rd 3rd Floor Prickett South, Smyrna, DE 19977 | 2013-01-18 |
| 1891056529 | Alex Bongon Siapno | Physical Therapist | 3034 S Dupont Blvd., Smyrna, DE 19977 | 2012-05-29 |
| Find all providers in zip 19977 | ||||
| Taxonomy Code | 103TM1800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Mental Retardation & Developmental Disabilities |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902403322 | Franklyn Kargbo | Psychologist | 2 Borealis Ct, Smyrna, DE 19977-3962 | 2020-10-08 |
| 1992302319 | Agnes Freeman-herring | Psychologist | 139 Buckeye Ln, Smyrna, DE 19977-5245 | 2020-10-08 |
| 1902403496 | Priscilla Bestman | Psychologist | 17 Halifax Ln, Smyrna, DE 19977-4539 | 2020-10-07 |
| 1689271231 | Wendy Bookard | Psychologist | 236 E Braeburn Dr, Smyrna, DE 19977-3930 | 2020-10-07 |
| 1952908683 | Archimore Roberts | Psychologist | 61 Ogden Ct, Smyrna, DE 19977-3910 | 2020-10-06 |
| 1134726862 | Maria Eyekpimi | Psychologist | 150 Climbing Vine Ave, Smyrna, DE 19977-3951 | 2020-10-06 |
| 1013514124 | Kwame Tuffuor | Psychologist | 1 Hedera Ct, Smyrna, DE 19977-3961 | 2020-10-02 |
| 1447857511 | Delore Love | Psychologist | 169 E Braeburn Dr, Smyrna, DE 19977-3931 | 2020-10-02 |
| 1538766613 | Althia Rennie | Psychologist | 34 Dilworthtown Dr, Smyrna, DE 19977-4528 | 2020-10-02 |
| 1205433463 | Tina Robinson | Psychologist | 67 Zelkova Rd, Smyrna, DE 19977-3969 | 2020-10-01 |
| Find all providers in SMYRNA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.