Provider Demographics
NPI:1780862714
Name:HADLEY, CHET (NCSP)
Entity Type:Individual
Prefix:
First Name:CHET
Middle Name:
Last Name:HADLEY
Suffix:
Gender:M
Credentials:NCSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:504 S BROAD ST
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:DE
Mailing Address - Zip Code:19709-1443
Mailing Address - Country:US
Mailing Address - Phone:302-378-5001
Mailing Address - Fax:302-378-5008
Practice Address - Street 1:504 S BROAD ST
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:DE
Practice Address - Zip Code:19709-1443
Practice Address - Country:US
Practice Address - Phone:302-378-5001
Practice Address - Fax:302-378-5008
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-01
Last Update Date:2008-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DE10782103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool