Elizabeth S Miceli
Family Psychologist Clinical Psychologist Clinical Child & Adolescent Psychologist
905 W Governor Rd Ste 200
Hershey
, Pennsylvania 17033-2310
Elizabeth S Miceli
Family Psychologist Clinical Psychologist Clinical Child & Adolescent Psychologist
905 W Governor Rd Ste 200
Hershey
, Pennsylvania 17033-2310
(800) 243-1455
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About
Features
Specialties
- Clinical Psychologist
- Clinical Child & Adolescent Psychologist
- Family Psychologist
Languages spoken
- English
Location
First Address
- Elizabeth S Miceli
- Po Box 858 Mc A410
- Hershey, PA
- Zip : 17033-0858
- Phone : (800) 243-1455
Second Address
- Elizabeth S Miceli
- 905 W Governor Rd Ste 200
- Hershey, PA
- Zip : 17033-2310
- Fax : (717) 531-0067
- Phone : (717) 531-7235
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 103G00000X | Clinical Psychologist | PS018864 | PA |
| N | 103TC0700X | Clinical Psychologist | PS018864 | PA |
| Y | 103TC2200X | Clinical Child & Adolescent Psychologist | PS018864 | PA |
| N | 103TF0000X | Family Psychologist |
National Provider Identifier
| NPI | 1033667548 |
|---|---|
| Provider Name | Elizabeth S Miceli |
| First Address | Hershey, PA 17033-0858 |
| Second Address | Hershey, PA 17033-2310 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/09/2016 |
| Last Update Date | 03/10/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1285628552 | AGENCIES (01) | NY |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.