Mayville, Elena

Mayville, Elena is an sole proprietor health care provider with primary practice located at 1004 W Fort St , Boise ID 83702-5427. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Mayville, Elena can be contacted via phone (212) 254-3967.

Contact Information

Primary practice address
1004 W Fort St Boise ID 83702-5427
Phone: (212) 254-3967
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 203487 Idaho
Behavioral Health & Social Service Providers / Clinical 103TC0700X 021223 New York

Profile Details

NPI number 1437446176
LBN Legal business name Mayville, Elena
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 1st, 2011
Last updated Jun 27th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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