Laurel Senior Center, Inc.

Primary specialty

Adult Development & Aging PsychologistTaxonomy code 103TA0700X

License

ADC-006 Issued in DE

Legal business name

LAUREL SENIOR CENTER, INC.

Practice address

113 N. Central Ave.
Laurel, DE 19956-0064

Phone

(302) 875-2536

Fax

(302) 875-2883

NPI assigned

Dec 8, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Penelope Duncan

Title

Executive Director

Phone

(302) 875-2536

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1396804829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 N. CENTRAL AVENUE",
            "address_2": "P.O. BO X 64",
            "city": "LAUREL",
            "state": "DE",
            "postal_code": "199560064",
            "telephone_number": "302-875-2536",
            "fax_number": "302-875-2883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 N. CENTRAL AVE.",
            "city": "LAUREL",
            "state": "DE",
            "postal_code": "199560064",
            "telephone_number": "302-875-2536",
            "fax_number": "302-875-2883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAUREL SENIOR CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DUNCAN",
        "authorized_official_first_name": "PENELOPE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "302-875-2536",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "103TA0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Adult Development & Aging",
            "state": "DE",
            "license": "ADC-006",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000834455",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Naomi Lang
• Laurel Fire Department Inc.
• Laurel Health Services Inc
• Laurel Health Services Inc (Express Pharmacy)
• Laurel Medical Group, LLC
• Tracy Lynn Lewis, RN
• Living Alive Home Health Agency
• Diane H Lubkeman, M.D.
• M Cristina Machin
• Sandra Mancilla, MD

• Adult Development & Aging Psychologist in Laurel, DE
• Providers in Laurel, DE by specialty
• Adult Development & Aging Psychologist in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.