Individual
DR. ELAINE J DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
22 NORTHEAST DR, HERSHEY, PA 17033-2732
(800) 243-1455
Mailing address
2 NOOK ALY, MECHANICSBURG, PA 17050-4116
(717) 858-1822
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD060401L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0017340010003
—
PA
Enumeration date
12/22/2005
Last updated
07/10/2024
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