DR. EDRIS GOOLSBY HARRELL


Address: 520 Rothbury Rd, Wilmington, DE 19803-2440
Phone: 3027645309

DR. EDRIS GOOLSBY HARRELL (NPI# 1366510646) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1366510646
Entity Type Individual
Full Name DR. EDRIS GOOLSBY HARRELL
Credential PH.D.
Practice Address 520 Rothbury Rd
Wilmington
DE 19803-2440
Practice Telephone 3027645309
Practice Fax Number 3027927389
Mailing Telephone 3027645309
Mailing Fax Number 3027927389
Enumeration Date 2006-12-02
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TS0200X Psychologist
Specialization: School
Behavioral Health & Social Service Providers

Office Location

Street Address 520 ROTHBURY RD
City WILMINGTON
State DE
Zip Code 19803-2440

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NPI Name Taxonomy Address Enumeration
1437779683 Minal Aundhia Student in an Organized Health Care Education/Training Program Sidney Kimmel Medical College, 1600 Rockland Road Pediatric Residency Program, Wilmington, DE 19803 2020-04-17
1891324307 Manuel Roque Sanchez Gonzales Jr. Pediatrics Attn: Cindy Chuidian (gme Office), 1600 Rockland Rd, Wilmington, DE 19803 2020-04-06
1477117554 Antanoid John Langeveldt Student in an Organized Health Care Education/Training Program 1600 Rockland Al Dupont Hospital, Wilmington, DE 19803 2019-04-24
1043791817 Ronald Mcdonald House of Delaware Inc. Meals 1901 Rockland Rd, Wilmington, DE 19803 2018-08-28
1316312754 Wellspring Emotional Health, LLC Social Worker 910 Foulk Rd, Suite 200, Wilmington, DE 19803 2015-12-10
1396117040 Stacey Marie Boyer Psychologist 405 Foulk Road, Wilmington, DE 19803 2015-10-21
1518347095 Michelle Marie Clark Allergy & Immunology 1600 Rockland Rd Ste 3d16, Wilmington, DE 19803 2015-06-01
1972922870 Jennifer Lynne Carite Emergency Medicine 1600 Rockland Rd Ste 2b80, Wilmington, DE 19803 2014-04-08
1285938712 Howard Wilk Family Medicine 18 Stone Tower Lane, Wilmington, DE 19803 2010-12-23
1568691905 Kyle Phillips Registered Nurse 410 Foulk Road, Suite 100, Wilmington, DE 19803 2009-07-07
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Taxonomy Information

Taxonomy Code 103TS0200X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization School

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1487214243 Skye Beckley Psychologist 2815 Highlands Ln, Wilmington, DE 19808-3629 2019-06-14
1295210441 Amanda Roesly Psychologist 1703 School Ln, Wilmington, DE 19808-6030 2018-10-03
1841729845 Christine Madden Psychologist 2111 Silverside Rd, Wilmington, DE 19810-4120 2017-06-05
1780052209 Teren Stokes Psychologist 801 W 18th St, Wilmington, DE 19802-3852 2015-09-15
1619345618 Linda Cylc Psychologist 2916 Duncan Rd, Wilmington, DE 19808-2319 2015-09-08
1528102589 Polly Benkstein Psychologist 4550 New Linden Hill Rd, Wilmington, DE 19808-2930 2007-02-16
1124664628 Stephanie E Valenzuela Psychologist 301 Mckennans Church Rd, Wilmington, DE 19808-1327 2019-11-20
1699310243 Anahita Scheinberg Psychologist 1502 Spruce Ave, Wilmington, DE 19805-2148 2019-11-07
1871137521 Sarah Townsend Barton Psychologist 1502 Spruce Ave, Wilmington, DE 19805-2148 2019-11-05
1568006468 Rebecca Felicia Bertuccio Psychologist 1800 Limestone Rd, Wilmington, DE 19804-4108 2019-11-04
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Competitor

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City WILMINGTON
Zip Code 19803

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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