Provider Demographics
NPI:1073911061
Name:NAFTALI, ELANAH DALYAH (DRPH, LMFT)
Entity Type:Individual
Prefix:DR
First Name:ELANAH
Middle Name:DALYAH
Last Name:NAFTALI
Suffix:
Gender:F
Credentials:DRPH, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:145 W HORTTER ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19119-2707
Mailing Address - Country:US
Mailing Address - Phone:215-498-6360
Mailing Address - Fax:
Practice Address - Street 1:6060 RIDGE AVE
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19128-1657
Practice Address - Country:US
Practice Address - Phone:215-498-6360
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-12-08
Last Update Date:2016-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMF000803106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist