Healthcare Provider Details

I. General information

NPI: 1275670796
Provider Name (Legal Business Name): ORLOV COUNSELING ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/31/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2601 ANNAND DR SUITE 7
WILMINGTON DE
19808-3719
US

IV. Provider business mailing address

2601 ANNAND DR SUITE 7
WILMINGTON DE
19808-3719
US

V. Phone/Fax

Practice location:
  • Phone: 302-994-4014
  • Fax: 302-994-7827
Mailing address:
  • Phone: 302-994-4014
  • Fax: 302-994-7827

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number128
License Number StateDE

VIII. Authorized Official

Name: DR. LELAND G. ORLOV
Title or Position: OWNER
Credential: PH.D.
Phone: 302-994-4014