Provider Demographics
NPI:1831390053
Name:WEINTEL, ILENE ELIA (PSYD)
Entity type:Individual
Prefix:DR
First Name:ILENE
Middle Name:ELIA
Last Name:WEINTEL
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5143A W WOODMILL DR
Mailing Address - Street 2:SUITE 24
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19808-4067
Mailing Address - Country:US
Mailing Address - Phone:302-999-8426
Mailing Address - Fax:302-999-8761
Practice Address - Street 1:5143A W WOODMILL DR
Practice Address - Street 2:SUITE 24
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19808-4067
Practice Address - Country:US
Practice Address - Phone:302-999-8426
Practice Address - Fax:302-999-8761
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-29
Last Update Date:2009-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEB1-0000764103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical