Healthcare Provider Details

I. General information

NPI: 1942807847
Provider Name (Legal Business Name): THE READING CLINIC, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/04/2020
Last Update Date: 10/04/2020
Certification Date: 10/04/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1400 PEOPLES PLZ STE 127
NEWARK DE
19702-5706
US

IV. Provider business mailing address

6 WISTERIA WAY
BEAR DE
19701-6376
US

V. Phone/Fax

Practice location:
  • Phone: 130-283-2102
  • Fax:
Mailing address:
  • Phone: 302-832-1023
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251300000X
TaxonomyLocal Education Agency (LEA)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. RAHMANDA S. CAMPBELL
Title or Position: CEO
Credential:
Phone: 302-832-1023