NPI 1528810801

Bertram Hickman, CPRS

Practitioner Peer Specialist Wilmington, DE

Practice location

Address: 2713 Lancaster Ave, Wilmington, DE 19805-5220
Phone: (302) 333-8261

Registered specialties

Peer Specialist Primary

Other Service Providers Taxonomy 175T00000X Licence 2153 (DE)

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Registry record

NPI: 1528810801
Entity type: Individual
Sex (as registered): Male
NPI issued: 2 Apr 2024
Record last updated: 2 Apr 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.