Individual
ELANA FARACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
30 HOPE DR STE 1300, HERSHEY, PA 17033-2036
(717) 531-3828
(717) 531-4694
Mailing address
PO BOX 858, MC A410, HERSHEY, PA 17033-0858
(800) 243-1455
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PS015784
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1012786000001
—
PA
Enumeration date
05/12/2006
Last updated
11/15/2019
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