Individual
ELIZABETH H FELL DEWALT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
410 W CHURCH ST, ELMIRA, NY 14901
(607) 737-1235
(607) 735-9617
Mailing address
410 W CHURCH ST, ELMIRA, NY 14901
(607) 737-1235
(607) 735-9617
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
012516
NY
Other
Enumeration date
10/16/2006
Last updated
07/08/2007
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