Provider Demographics
NPI:1164816724
Name:ZELIKMAN, YELENA
Entity Type:Individual
Prefix:
First Name:YELENA
Middle Name:
Last Name:ZELIKMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:427 COLUMBIA RD STE 104
Mailing Address - Street 2:
Mailing Address - City:HANOVER
Mailing Address - State:MA
Mailing Address - Zip Code:02339-3213
Mailing Address - Country:US
Mailing Address - Phone:857-258-9844
Mailing Address - Fax:781-243-3815
Practice Address - Street 1:427 COLUMBIA RD STE 104
Practice Address - Street 2:
Practice Address - City:HANOVER
Practice Address - State:MA
Practice Address - Zip Code:02339-3213
Practice Address - Country:US
Practice Address - Phone:857-258-9844
Practice Address - Fax:812-433-8157
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-22
Last Update Date:2023-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health