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ELWYN OF PENNSYLVANIA AND DELAWARE NPI 1306962691


NPI Information

NPI: 1306962691
Provider Name: ELWYN OF PENNSYLVANIA AND DELAWARE

Other Name: DELAWARE ELWYN SUPPORTIVE EMPLOYMENT

Classification: Psychologist - 103TR0400X
Entity Type: Organization

Specialization: Rehabilitation

Address:
321 E 11TH ST
WILMINGTON, DE
ZIP 19801
Phone: (215) 907-9666
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ELWYN OF PENNSYLVANIA AND DELAWARE is a rehabilitation psychologist in Wilmington, DE. The provider is a psychologist who specializes in the study and application of psychological principles on behalf of persons who have disability due to injury or illness. Rehabilitation psychologists, often within teams, assess and treat cognitive, emotional, and functional difficulties, and help people to overcome barriers to participation in life activities. Rehabilitation psychologists are involved in practice, research, and advocacy, with the broad goal of fostering independence and opportunity for people with disabilities. ELWYN OF PENNSYLVANIA AND DELAWARE NPI is 1306962691. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Delaware Elwyn Supportive Employment.

The provider's business location address is:

321 E 11TH ST
WILMINGTON, DE
ZIP 19801-422
Phone: (215) 907-9666

The provider's authorized official is Donna Busch .
The authorized official title is Payer And Credentcialing Specialist and has the following contact phone number (445) 206-3028.

The enumeration date for this NPI number is 3/21/2007 and was last updated on 10/21/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103TA0700XPsychologistAdult Development & AgingNo
2103TM1800XPsychologistIntellectual and Developmental DisabilitiesNo
3225CX0006XRehabilitation CounselorOrientation and Mobility Training ProviderNo
4251C00000XDay Training, Developmentally Disabled ServicesNo
5103TR0400XPsychologistRehabilitationYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1000000664OTHERDELAWARESTATE PLAN
2221000664OTHERDELAWARESTATE PLAN
3000000001MEDICAIDDELAWARE
4000000008OTHERDELAWARESTATE PLAN
5222000664OTHERDELAWARESTATE PLAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.