NPI 1245094333

Autumn Self, MSLCGC

Practitioner Genetic Counselor (M.S.) Wilmington, DE

Practice location

Address: 1600 Rockland Rd, Wilmington, DE 19803-3607
Phone: (302) 553-7362
Mailing address: 921 Lombard St APT B, Philadelphia, PA 19147-1259

Registered specialties

Genetic Counselor (M.S.) Primary

Other Service Providers Taxonomy 170300000X Licence CG-0010538 (DE)

Other Genetic Counselor, MS providers in Delaware →

Registry record

NPI: 1245094333
Entity type: Individual
Sex (as registered): Female
NPI issued: 8 Feb 2024
Record last updated: 8 Feb 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.