Healthcare Provider Details

I. General information

NPI: 1033035191
Provider Name (Legal Business Name): ELIZABETH EGG-KRINGS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/24/2026
Last Update Date: 06/24/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

316 S WAYNE AVE
WAYNE PA
19087-4231
US

IV. Provider business mailing address

316 S WAYNE AVE
WAYNE PA
19087-4231
US

V. Phone/Fax

Practice location:
  • Phone: 610-306-6305
  • Fax:
Mailing address:
  • Phone: 610-306-6305
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberPC017883
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: