Lawanda Burke, ED.D.

Individual provider Active NPI School Psychologist · Wilmington, DE

NPI 1043720196 · NPPES record last updated Oct 3, 2017

Key facts

NPI
1043720196
Entity type
Individual (NPI type 1)
Primary specialty
School Psychologist 103TS0200X
Practice address
1502 Spruce Ave
Wilmington, DE 19805-2148
Phone
(302) 552-3700
NPI assigned
Oct 3, 2017
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X Yes

Addresses

Primary practice location

1502 Spruce Ave
Wilmington, DE 19805-2148

Mailing address

3130 Kennett Pike
Wilmington, DE 19807-3052

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 3, 2017.

{
    "created_epoch": "1506988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1506988800000",
    "number": "1043720196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3130 KENNETT PIKE",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198073052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1502 SPRUCE AVE",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198052148",
            "telephone_number": "302-552-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKE",
        "first_name": "LAWANDA",
        "name_prefix": "Dr.",
        "credential": "ED.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-03",
        "last_updated": "2017-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

All providers in Wilmington, DE · School Psychologist in Delaware

Sources for this page

Verify at the official NPI Registry.