Lanyon, Mark Dewitt

Lanyon, Mark Dewitt is an individual health care provider with primary practice located at 2814 W 2Nd St , Wilmington DE 19805-1807. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Cognitive & Behavioral is his primary health care specialty. Lanyon, Mark Dewitt can be contacted via phone (302) 472-0381.

Contact Information

Primary practice address
2814 W 2Nd St Wilmington DE 19805-1807
Phone: (302) 472-0381
Fax: (302) 472-0392
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1417008137
LBN Legal business name Lanyon, Mark Dewitt
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 16th, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417008137 NPPES
Delaware MEDICAID 1000024329
Delaware Other PC002510

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