Provider Demographics
NPI:1255570602
Name:CENTRAL DELAWARE SPEECH-LANGUAGE PATHOLOGY, INC.
Entity type:Organization
Organization Name:CENTRAL DELAWARE SPEECH-LANGUAGE PATHOLOGY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF SERVICES
Authorized Official - Prefix:MS
Authorized Official - First Name:KATHLEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:ANDERSON
Authorized Official - Suffix:
Authorized Official - Credentials:MS, CCC-SLP
Authorized Official - Phone:302-674-3350
Mailing Address - Street 1:541 S RED HAVEN LN
Mailing Address - Street 2:
Mailing Address - City:DOVER
Mailing Address - State:DE
Mailing Address - Zip Code:19901-6483
Mailing Address - Country:US
Mailing Address - Phone:302-674-3350
Mailing Address - Fax:
Practice Address - Street 1:541 S RED HAVEN LN
Practice Address - Street 2:
Practice Address - City:DOVER
Practice Address - State:DE
Practice Address - Zip Code:19901-6483
Practice Address - Country:US
Practice Address - Phone:302-674-3350
Practice Address - Fax:928-752-3350
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-09
Last Update Date:2025-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
01-03-1130103K00000X
DE01-0001086235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty
No103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty