Provider Demographics
NPI:1245190495
Name:DELAWARE COUNTY CENTER FOR PSYCHOLOGICAL SERVICES, LLC
Entity type:Organization
Organization Name:DELAWARE COUNTY CENTER FOR PSYCHOLOGICAL SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:MARIELLE
Authorized Official - Middle Name:MARTINO
Authorized Official - Last Name:MATHEWS
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:610-613-2069
Mailing Address - Street 1:531 FAIRFAX RD
Mailing Address - Street 2:
Mailing Address - City:DREXEL HILL
Mailing Address - State:PA
Mailing Address - Zip Code:19026-1210
Mailing Address - Country:US
Mailing Address - Phone:484-254-6371
Mailing Address - Fax:
Practice Address - Street 1:525 W CHESTER PIKE STE 311B
Practice Address - Street 2:
Practice Address - City:HAVERTOWN
Practice Address - State:PA
Practice Address - Zip Code:19083-4510
Practice Address - Country:US
Practice Address - Phone:484-254-6371
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-11-12
Last Update Date:2025-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty