| Laurel Senior Center, Inc. | |
|
113 N. Central Ave. Laurel DE 19956-0064 | |
| (302) 875-2536 | |
| (302) 875-2883 |
| Full Name | Laurel Senior Center, Inc. |
|---|---|
| Speciality | Psychologist - Adult Development & Aging |
| Location | 113 N. Central Ave., Laurel, Delaware |
| Authorized Official Name and Position | Penelope Duncan (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3028752536 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Laurel Senior Center, Inc. 113 N. Central Avenue P.o. Bo X 64 Laurel DE 19956-0064 Ph: (302) 875-2536 | Laurel Senior Center, Inc. 113 N. Central Ave. Laurel DE 19956-0064 Ph: (302) 875-2536 |
| NPI Number | 1396804829 |
|---|---|
| Provider Enumeration Date | 12/08/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396804829 | NPI | - | NPPES |
| 0000834455 | Medicaid | DE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TA0700X | Psychologist - Adult Development & Aging | ADC-006 (Delaware) | Primary |
Psychological Associates Of Southern Delaware Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 11023 Joe Warrington Dr, Laurel, DE 19956 Phone: 302-280-6256 Fax: 302-280-6272 |