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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
{
"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": []
}
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All providers in Wilmington, DE · School Psychologist in Delaware
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 3, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.