Provider Demographics
NPI:1679193114
Name:INROAD BEHAVIORAL AND SOCIAL HEALTH
Entity Type:Organization
Organization Name:INROAD BEHAVIORAL AND SOCIAL HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:URMI
Authorized Official - Middle Name:LAHIRI
Authorized Official - Last Name:BANERJEE
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:610-357-6901
Mailing Address - Street 1:1215 DELPA DR
Mailing Address - Street 2:
Mailing Address - City:LANDENBERG
Mailing Address - State:PA
Mailing Address - Zip Code:19350-9368
Mailing Address - Country:US
Mailing Address - Phone:610-357-6901
Mailing Address - Fax:
Practice Address - Street 1:3304 OLD CAPITOL TRL STE 201
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19808-6210
Practice Address - Country:US
Practice Address - Phone:610-357-6901
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-24
Last Update Date:2020-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty