Individual
ELAINE EVERDING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
150 WELLES ST, FORTY FORT, PA 18704-4966
(570) 338-2601
Mailing address
34 ITALY ST, MOCANAQUA, PA 18655-1402
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS0177756
PA
Other
Enumeration date
02/10/2016
Last updated
02/10/2016
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