Provider Demographics
NPI:1225180318
Name:KLEBER, ELIZABETH F (PHD)
Entity Type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:F
Last Name:KLEBER
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:349 LANCASTER AVE
Mailing Address - Street 2:SUITE 208
Mailing Address - City:HAVERFORD
Mailing Address - State:PA
Mailing Address - Zip Code:19041-1500
Mailing Address - Country:US
Mailing Address - Phone:610-642-2056
Mailing Address - Fax:
Practice Address - Street 1:349 LANCASTER AVE
Practice Address - Street 2:SUITE 208
Practice Address - City:HAVERFORD
Practice Address - State:PA
Practice Address - Zip Code:19041-1500
Practice Address - Country:US
Practice Address - Phone:610-642-2056
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS008005L103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0015231230002Medicaid
PA0790384000OtherMAGELLAN PERSONAL CHOICE
PA0790384000OtherMAGELLAN PERSONAL CHOICE