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Individual

DR. SHARON VIRGINIA ELWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PSY.D.

Contact information

Practice address
1901 HAY TER LOWR LEVEL6, EASTON, PA 18042
(610) 253-4446
Mailing address
1901 HAY TER LOWR LEVEL6, EASTON, PA 18042-4650
(610) 253-4446
(610) 253-4414

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
2827
PA
103TC0700X
Clinical Psychologist
Primary
PS016019
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
556931000
MAGELLAN HEALTH SERVICES
PA
01
7257479
AETNA
PA
Enumeration date
03/23/2006
Last updated
06/14/2019
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