Organization
SHARON ELWELL, PSYD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHARON VIRGINIA ELWELL PSYD (LICENSED PSYCHOLOGIST)
(215) 605-3087
Entity
Organization
Contact information
Practice address
1901 HAY TER, HAY TERRACE OFFICE CENTER-LOWER LEVEL 6, EASTON, PA 18042-4650
(215) 605-3087
Mailing address
1901 HAY TER, HAY TERRACE OFFICE CENTER-LOWER LEVEL 6, EASTON, PA 18042-4650
(215) 605-3087
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
PSO16019
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
105892VA9
MEDICARE CLINICIAN NUMBER
PA
Enumeration date
01/24/2010
Last updated
05/13/2010
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