Provider Demographics
NPI:1518990233
Name:BOUVEL, ELIZABETH A (MS,NCC,LPC)
Entity Type:Individual
Prefix:MRS
First Name:ELIZABETH
Middle Name:A
Last Name:BOUVEL
Suffix:
Gender:F
Credentials:MS,NCC,LPC
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Other - First Name:
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Mailing Address - Street 1:THE COMMONS AT VALLEY FORGE
Mailing Address - Street 2:1220 VALLEY FORGE RD. UNIT NUMBER 43
Mailing Address - City:PHOENIXVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19460
Mailing Address - Country:US
Mailing Address - Phone:610-917-8894
Mailing Address - Fax:610-933-9190
Practice Address - Street 1:1220 VALLEY FORGE RD.
Practice Address - Street 2:UNIT NUMBER 43
Practice Address - City:PHOENIXVILLE
Practice Address - State:PA
Practice Address - Zip Code:19460
Practice Address - Country:US
Practice Address - Phone:610-917-8894
Practice Address - Fax:610-933-9190
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC000957101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health