Provider Demographics
NPI:1598479396
Name:ADHD DUDE
Entity Type:Organization
Organization Name:ADHD DUDE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RYAN
Authorized Official - Middle Name:
Authorized Official - Last Name:WEXELBLATT
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:215-681-5290
Mailing Address - Street 1:2908 E 9TH ST
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85716-5207
Mailing Address - Country:US
Mailing Address - Phone:215-681-5290
Mailing Address - Fax:
Practice Address - Street 1:2908 E 9TH ST
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85716-5207
Practice Address - Country:US
Practice Address - Phone:215-681-5290
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-06
Last Update Date:2023-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty