Provider Demographics
NPI:1184672990
Name:MUSEWICZ, ELIZABETH HENSHAW (MS, LPC)
Entity Type:Individual
Prefix:MS
First Name:ELIZABETH
Middle Name:HENSHAW
Last Name:MUSEWICZ
Suffix:
Gender:F
Credentials:MS, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7404 HILLTOP DR
Mailing Address - Street 2:
Mailing Address - City:BROOKHAVEN
Mailing Address - State:PA
Mailing Address - Zip Code:19015-1310
Mailing Address - Country:US
Mailing Address - Phone:610-499-9194
Mailing Address - Fax:
Practice Address - Street 1:414 PARK AVE
Practice Address - Street 2:
Practice Address - City:SWARTHMORE
Practice Address - State:PA
Practice Address - Zip Code:19081-2015
Practice Address - Country:US
Practice Address - Phone:484-574-4503
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC003436101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health