| Delaware Psychological Services Llc | |
|
17021 Old Orchard Rd Suite 4 Lewes DE 19958-4832 | |
| (609) 517-1529 | |
| Not Available |
| Full Name | Delaware Psychological Services Llc |
|---|---|
| Speciality | Counselor |
| Location | 17021 Old Orchard Rd, Lewes, Delaware |
| Authorized Official Name and Position | Katherine Knowele Elder (CO-OWNER) |
| Authorized Official Contact | 6095171529 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Delaware Psychological Services Llc 27387 Walking Run Milton DE 19968-3086 Ph: (609) 517-1529 | Delaware Psychological Services Llc 17021 Old Orchard Rd Suite 4 Lewes DE 19958-4832 Ph: (609) 517-1529 |
| NPI Number | 1659791440 |
|---|---|
| Provider Enumeration Date | 04/21/2014 |
| Last Update Date | 04/21/2014 |
| Medicare PECOS PAC ID | 8325566391 |
|---|---|
| Medicare Enrollment ID | O20250514001865 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659791440 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | CD 0000020 (Delaware) | Secondary |
| 101YM0800X | Counselor - Mental Health | PC 0000534 (Delaware) | Primary |
| Provider Name | Katherine Elder |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1316244700 PECOS PAC ID: 8527585843 Enrollment ID: I20250520004476 |
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