Doctor Name: | SUSAN E. ELKO |
NPI Number: | 1275675399 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LRC |
License Number: | 37RC00101800 |
Business Practice Address: | 149 Emmans Rd Flanders, NJ - 078369041 |
Business Phone Number: | 9732521834 |
Business Fax Number: | |
Mailing Address: | 149 Emmans Rd, FLANDERS |
State: | NJ |
Postal Code: | 078369041 |
Phone Number: | 9732521834 |
Fax Number: | |
NPI Enumeration Date: | 02/13/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 37RC00101800 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |