Mark Dewitt Lanyon, PHD is a
Counselor - Addiction (substance Use Disorder) based in Wilmington, Delaware. Mark Dewitt Lanyon is licensed to practice in * (Not Available) (license number ) and his current practice location is
2814 W 2nd St, Wilmington, Delaware. He can be reached at his office (for appointments etc.) via phone at
(302) 472-0381.
NPI number for Mark Dewitt Lanyon is 1417008137 and his current mailing address is 2814 W 2nd St, Wilmington, Delaware. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1417008137.
Healthcare Provider's Profile
| Full Name | Mark Dewitt Lanyon |
|---|
| Gender | Male |
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| Speciality | Counselor - Addiction (substance Use Disorder) |
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| Location | 2814 W 2nd St, Wilmington, Delaware |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1417008137
- Provider Enumeration Date: 01/16/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Mark Dewitt Lanyon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1417008137 | NPI | - | NPPES |
| 1000024329 | Medicaid | DE | |
| PC002510 | Other | PA | PROF COUNSELOR LICENSE# |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TB0200X | Psychologist - Cognitive & Behavioral | (* (Not Available)) | Primary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mark Dewitt Lanyon is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mark Dewitt Lanyon, PHD
2814 W 2nd St,
Wilmington, DE 19805-1807
Ph: (302) 472-0381 | Mark Dewitt Lanyon, PHD
2814 W 2nd St,
Wilmington, DE 19805-1807
Ph: (302) 472-0381 |
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