Organization
ELIZABETH CIARAVINO, PH.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELIZABETH CIARAVINO PHD (PSYCHOLOGIST)
(570) 226-0851
Entity
Organization
Contact information
Practice address
8 SILK MILL DR STE 223, HAWLEY, PA 18428-1423
(570) 226-1963
(570) 226-1967
Mailing address
13 COMANCHE DRIVE, LAKEVILLE, PA 18438-6773
(570) 226-0851
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1154425205
—
PA
Enumeration date
02/18/2021
Last updated
04/06/2021
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