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ELANA FARACE PHD

Clinical Neuropsychologist

Hershey, Pennsylvania

Provider NPI: 1093765695

Provider Information:
 ELANA  FARACE PHD
Gender: F
Not Sole Proprietor

Practice Location:
500 UNIVERSITY DR  HERSHEY, PA 17033 US
Tel: 800-233-4082  Fax: --

Business Mailing Address:
PO BOX 854 MC A410 HERSHEY, PA 17033 US
Tel: 800-233-4082  Fax: --

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
PAPS015784

Other Provider Identifiers:

IssuerNumberStateType
1012786000001PA05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







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