Individual
ELIZABETH A CHAKRAVARTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1062 E LANCASTER AVE STE 2, BRYN MAWR, PA 19010-1568
(917) 558-2958
Mailing address
211 TRIANON LN, VILLANOVA, PA 19085-1443
(917) 558-2958
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
SW142089
PA
Other
Enumeration date
09/16/2024
Last updated
09/16/2024
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