| Doctor Name: | DR. ELISA BELL |
| NPI Number: | 1952450223 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D. |
| License Number: | 036084180 |
| Business Practice Address: | 403 E Madison St South Bend, IN - 466172322 |
| Business Phone Number: | 5742831234 |
| Business Fax Number: | 5745372652 |
| Mailing Address: | Po Box 809, GOSHEN |
| State: | IN |
| Postal Code: | 465270809 |
| Phone Number: | 5745331234 |
| Fax Number: | 5375372652 |
| NPI Enumeration Date: | 01/09/2007 |
| NPI Last Update Date: | 08/16/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103G00000X |
| License Number: | 036084180 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Clinical Neuropsychologist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |