Provider Demographics
NPI:1750623989
Name:DELL, ADAM DAVID (PSYD)
Entity type:Individual
Prefix:DR
First Name:ADAM
Middle Name:DAVID
Last Name:DELL
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:109 DOUBLOON DR
Mailing Address - Street 2:PSYCHOLOGICAL CARE SERVICES
Mailing Address - City:SLIDELL
Mailing Address - State:LA
Mailing Address - Zip Code:70461-2715
Mailing Address - Country:US
Mailing Address - Phone:985-641-2513
Mailing Address - Fax:
Practice Address - Street 1:109 DOUBLOON DR
Practice Address - Street 2:PSYCHOLOGICAL CARE SERVICES
Practice Address - City:SLIDELL
Practice Address - State:LA
Practice Address - Zip Code:70461-2715
Practice Address - Country:US
Practice Address - Phone:985-641-2513
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-26
Last Update Date:2015-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1925103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical