Most Relevant Information
Provider Data
| NPI Number: | 1003358300 |
| Provider Name: | SERGIO OLIVA |
| Entity Type: | Individual |
| Taxonomy Code: | 103TS0200X |
| Specialty: | Psychologist |
| License Number: | 83394 |
Most Important Dates
| Enumeration Date: | 11/17/2016 |
| Last Updated: | 02/06/2017 |
Provider Practice Location
1311 BRANDYWINE BLVD
WILMINGTON
DE
198092306
Practice Location Phone/Fax
| Phone: | 3027935072 |
| Fax: | 3027651996 |
Provider Mailing Location
1311 BRANDYWINE BLVD
WILMINGTON
DE
198092306
Provider Mailing Phone/Fax
| Phone: | 3027935072 |
| Fax: | 3027651996 |