Provider Demographics
NPI:1083910749
Name:A.D.H.D. BEHAVIORAL LEARNING DISABILITY CENTER, P.A.
Entity Type:Organization
Organization Name:A.D.H.D. BEHAVIORAL LEARNING DISABILITY CENTER, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:JORDAN
Authorized Official - Last Name:STORLAZZI
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:302-479-5351
Mailing Address - Street 1:2700 SILVERSIDE RD
Mailing Address - Street 2:SUITE 5A
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19810-3719
Mailing Address - Country:US
Mailing Address - Phone:302-479-5351
Mailing Address - Fax:302-478-9120
Practice Address - Street 1:2700 SILVERSIDE RD
Practice Address - Street 2:SUITE 5A
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19810-3719
Practice Address - Country:US
Practice Address - Phone:302-479-5351
Practice Address - Fax:302-478-9120
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-28
Last Update Date:2017-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEC100000170208000000X, 2080P0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2080P0006XAllopathic & Osteopathic PhysiciansPediatricsDevelopmental - Behavioral PediatricsGroup - Multi-Specialty
No208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Multi-Specialty