| Doctor Name: | ELAINE EVERDING |
| NPI Number: | 1700244332 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | PS0177756 |
| Business Practice Address: | 150 Welles St Forty Fort, PA - 187044966 |
| Business Phone Number: | 5703382601 |
| Business Fax Number: | |
| Mailing Address: | 34 Italy St, MOCANAQUA |
| State: | PA |
| Postal Code: | 186551402 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 02/10/2016 |
| NPI Last Update Date: | 02/10/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | PS0177756 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |