Provider Demographics
NPI:1316199870
Name:NOVEMBER, ELANA SCHLESINGER (PSYD)
Entity Type:Individual
Prefix:DR
First Name:ELANA
Middle Name:SCHLESINGER
Last Name:NOVEMBER
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:825 BEACON ST
Mailing Address - Street 2:SUITE 19
Mailing Address - City:NEWTON CENTRE
Mailing Address - State:MA
Mailing Address - Zip Code:02459-1834
Mailing Address - Country:US
Mailing Address - Phone:617-785-5219
Mailing Address - Fax:617-467-5803
Practice Address - Street 1:825 BEACON ST
Practice Address - Street 2:SUITE 19
Practice Address - City:NEWTON CENTRE
Practice Address - State:MA
Practice Address - Zip Code:02459-1834
Practice Address - Country:US
Practice Address - Phone:617-785-5219
Practice Address - Fax:617-467-5803
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-15
Last Update Date:2014-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA8943103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist