MEDICARE: DR. GAIL KATHARINE ELLIOT PH.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103T00000X	Psychologist	PS003547L	PA

General Provider Information

NPI Number	:	1891987095
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GAIL KATHARINE ELLIOT PH.D.

Provider Business Mailing Address
First Line	:	73 VALLEY DR
Second Line	:
City	:	FURLONG
State	:	PA
Zip	:	18925-1032
Country	:	US
Telephone Number	:	215-794-3884
Fax Number	:	215-794-3386

Provider Business Practice Location Address
First Line	:	73 VALLEY DR
Second Line	:
City	:	FURLONG
State	:	PA
Zip	:	18925-1032
Country	:	US
Telephone Number	:	215-794-3884
Fax Number	:	215-794-3386

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/13/2007
Last Update Date	:	08/04/2014

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Directions to “ DR. GAIL KATHARINE ELLIOT PH.D.” Practice Location

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