| Doctor Name: | DR. ELIZABETH P. KIRCHNER |
| NPI Number: | 1063599124 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PH. D. |
| License Number: | PS000102L |
| Business Practice Address: | 444 E College Ave Suite 330 State College, PA - 168015558 |
| Business Phone Number: | 8142371980 |
| Business Fax Number: | 8142381842 |
| Mailing Address: | 444 E College Ave, Suite 330 STATE COLLEGE |
| State: | PA |
| Postal Code: | 168015558 |
| Phone Number: | 8142371980 |
| Fax Number: | 8142381842 |
| NPI Enumeration Date: | 11/01/2006 |
| NPI Last Update Date: | 12/30/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | PS000102L |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |