Miceli, Elizabeth S

Miceli, Elizabeth S is an individual health care provider with primary practice located at 905 W Governor Rd Ste 200 , Hershey PA 17033-2310. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Family, Behavioral Health & Social Service Providers / Clinical Child & Adolescent. Behavioral Health & Social Service Providers / Clinical Child & Adolescent is her primary health care specialty. Miceli, Elizabeth S can be contacted via phone (717) 531-7235.

Contact Information

Primary practice address
905 W Governor Rd Ste 200 Hershey PA 17033-2310
Phone: (717) 531-7235
Fax: (717) 531-0067
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PS018864 Pennsylvania
Behavioral Health & Social Service Providers / Family 103TF0000X
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X PS018864 Pennsylvania

Profile Details

NPI number 1033667548
LBN Legal business name Miceli, Elizabeth S
Credentials PSY.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 13th, 2016
Last updated Oct 3rd, 2019 - about 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1033667548 NPPES
New York Other 1285628552 AGENCIES

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