Basic Information
| Provider Information | |||||||||
| NPI: | 1831390053 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | WEINTEL | ||||||||
| FirstName: | ILENE | ||||||||
| MiddleName: | ELIA | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | PSY.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 5143A W WOODMILL DR | ||||||||
| Address2: | SUITE 24 | ||||||||
| City: | WILMINGTON | ||||||||
| State: | DE | ||||||||
| PostalCode: | 198084067 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3029998426 | ||||||||
| FaxNumber: | 3029998761 | ||||||||
| Practice Location | |||||||||
| Address1: | 5143A W WOODMILL DR | ||||||||
| Address2: | SUITE 24 | ||||||||
| City: | WILMINGTON | ||||||||
| State: | DE | ||||||||
| PostalCode: | 198084067 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3029998426 | ||||||||
| FaxNumber: | 3029998761 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/29/2007 | ||||||||
| LastUpdateDate: | 08/12/2009 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 103TC0700X | B1-0000764 | DE | Y | Behavioral Health & Social Service Providers | Psychologist | Clinical |
No ID Information.