Provider Demographics
NPI:1568685428
Name:TURLEY, MICHELE WOOD (PSYD)
Entity Type:Individual
Prefix:DR
First Name:MICHELE
Middle Name:WOOD
Last Name:TURLEY
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 CREEK VIEW RD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19711-8546
Mailing Address - Country:US
Mailing Address - Phone:302-766-3654
Mailing Address - Fax:
Practice Address - Street 1:300 CREEK VIEW RD
Practice Address - Street 2:SUITE 101
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19711-8546
Practice Address - Country:US
Practice Address - Phone:302-766-3654
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-10
Last Update Date:2016-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH00008035101YM0800X
WA345763G101YS0200X, 103TS0200X
WAPY0003835103TC0700X
WAPY00003835103TC2200X
DEB1-0000946103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool
No103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent
No103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE1152520Medicaid
DE1152520Medicaid