Lusby, Delisa Ann

Lusby, Delisa Ann is an individual health care provider with primary practice located at 625 N Orange St 2Nd Floor, Wilmington DE 19801-2296. She recently has only one registered license in Behavioral Health & Social Service Providers / Group Psychotherapy, which is considered as her primary health care specialty. Lusby, Delisa Ann can be contacted via phone (302) 656-4044.

Contact Information

Primary practice address
625 N Orange St 2Nd Floor Wilmington DE 19801-2296
Fax: (302) 656-3439
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Group Psychotherapy 103TP2701X Delaware

Profile Details

NPI number 1326166166
LBN Legal business name Lusby, Delisa Ann
Credentials AAS CAAC
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 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 1326166166 NPPES
Delaware MEDICAID 103TP2701X

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