Provider Demographics
NPI:1700437746
Name:TOBBO, DOROTHY NKONGHO (PSYCH NP)
Entity Type:Individual
Prefix:
First Name:DOROTHY
Middle Name:NKONGHO
Last Name:TOBBO
Suffix:
Gender:F
Credentials:PSYCH NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:769 E MASTEN CIR STE 113/115
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:DE
Mailing Address - Zip Code:19963-1091
Mailing Address - Country:US
Mailing Address - Phone:302-222-1353
Mailing Address - Fax:
Practice Address - Street 1:769 E MASTEN CIR STE 113115
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:DE
Practice Address - Zip Code:19963-1091
Practice Address - Country:US
Practice Address - Phone:302-222-1353
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-09-20
Last Update Date:2024-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEL8-0000194363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health