Doctor Name: | MRS. ELAINE LEGATH MC KENNA |
NPI Number: | 1053423673 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSN, PMHCNS, BC |
License Number: | RN197844L |
Business Practice Address: | 3903 Hartzdale Dr Suite 305 Camp Hill, PA - 170117836 |
Business Phone Number: | 7177638650 |
Business Fax Number: | 7177638653 |
Mailing Address: | 3903 Hartzdale Dr, Suite 305 CAMP HILL |
State: | PA |
Postal Code: | 170117836 |
Phone Number: | 7177638650 |
Fax Number: | 7177638653 |
NPI Enumeration Date: | 08/31/2006 |
NPI Last Update Date: | 11/29/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 364SP0808X |
License Number: | RN197844L |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Clinical Nurse Specialist |
Taxonomy Specialization: | Psych/Mental Health |
Taxonomy Definition: |