Organization
ELWYN OF PENNSYLVANIA AND DELAWARE
Active
Other names
Elwyn Delaware Employment Services
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DONNA BUSCH (DIR. OF CONTRACTS AND CREDENTIALING)
(445) 206-3028
Entity
Organization
Contact information
Practice address
2502 SILVERSIDE RD STE 4, WILMINGTON, DE 19810-3740
(302) 300-6557
Mailing address
111 ELWYN RD, MEDIA, PA 19063-4622
(610) 497-8972
(610) 485-3965
Taxonomy
Speciality
Code
Description
License number
State
103TM1800X
Intellectual & Developmental Disabilities Psychologist
—
—
103TR0400X
Rehabilitation Psychologist
Primary
—
—
225CX0006X
Orientation and Mobility Training Rehabilitation Counselor
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000000001
—
DE
01
—
000000008
STATE PLAN
DE
01
—
000000664
STATE PLAN
DE
01
—
221000664
STATE PLAN
DE
01
—
222000664
STATE PLAN
DE
Enumeration date
03/21/2007
Last updated
10/15/2024
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