Healthcare Provider Details

I. General information

NPI: 1427344365
Provider Name (Legal Business Name): ELENA MARIE SARAGA MA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/20/2011
Last Update Date: 06/20/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 N WEST ST
DOYLESTOWN PA
18901-2366
US

IV. Provider business mailing address

8305 HULL DR
WYNDMOOR PA
19038-7513
US

V. Phone/Fax

Practice location:
  • Phone: 215-345-5300
  • Fax:
Mailing address:
  • Phone: 215-219-8160
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: