Provider Demographics
NPI:1841762143
Name:BANERJEE, URMI LAHIRI (MA)
Entity Type:Individual
Prefix:
First Name:URMI
Middle Name:LAHIRI
Last Name:BANERJEE
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:BONNIE
Other - Middle Name:
Other - Last Name:BANERJEE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:620 CHURCHMANS RD STE 103
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19702-1934
Mailing Address - Country:US
Mailing Address - Phone:302-655-2627
Mailing Address - Fax:
Practice Address - Street 1:620 CHURCHMANS RD STE 103
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19702-1934
Practice Address - Country:US
Practice Address - Phone:302-655-2627
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-12-26
Last Update Date:2018-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical