Provider Demographics
NPI:1396828190
Name:TURNER, ALVIN LOUIS (PHD)
Entity Type:Individual
Prefix:DR
First Name:ALVIN
Middle Name:LOUIS
Last Name:TURNER
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:222 PHILADELPHIA PIKE
Mailing Address - Street 2:SUITE 4
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19809-3166
Mailing Address - Country:US
Mailing Address - Phone:302-777-3202
Mailing Address - Fax:302-777-4752
Practice Address - Street 1:222 PHILADELPHIA PIKE
Practice Address - Street 2:SUITE 4
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19809-3166
Practice Address - Country:US
Practice Address - Phone:302-777-3202
Practice Address - Fax:302-777-4752
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-23
Last Update Date:2009-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEB10000165103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
41960OtherNATL REGISTER HEALTH CARE
DE0000350967Medicaid
DE491380Medicare ID - Type Unspecified