Provider Demographics
NPI:1447979166
Name:SHIPMAN, DENNIS (PHD)
Entity type:Individual
Prefix:PROF
First Name:DENNIS
Middle Name:
Last Name:SHIPMAN
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:110 S UNION ST # 2
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19805-3829
Mailing Address - Country:US
Mailing Address - Phone:302-300-0188
Mailing Address - Fax:302-300-0188
Practice Address - Street 1:110 S UNION ST # 2
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19805-3829
Practice Address - Country:US
Practice Address - Phone:302-300-0188
Practice Address - Fax:302-300-0188
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-25
Last Update Date:2022-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty