Individual
ELIZABETH ELLEN HATHAWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1241 CUMBERLAND AVE STE C, WEST LAFAYETTE, IN 47906-1304
(317) 207-9833
Mailing address
1241 CUMBERLAND AVE STE C, WEST LAFAYETTE, IN 47906-1304
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
01085661A
IN
Other
Enumeration date
04/28/2017
Last updated
03/02/2026
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