Individual
DR. LELAND G. ORLOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
2601 ANNAND DR, SUITE 7, WILMINGTON, DE 19808-3719
(302) 994-4014
(302) 994-7827
Mailing address
2601 ANNAND DR, SUITE 7, WILMINGTON, DE 19808-3719
(302) 994-4014
(302) 994-7827
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
128
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000714319
—
DE
Enumeration date
11/29/2006
Last updated
07/09/2007
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