Provider Demographics
NPI:1609039338
Name:ELFANT, ALLAN B (PHD)
Entity Type:Individual
Prefix:
First Name:ALLAN
Middle Name:B
Last Name:ELFANT
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:429 WEST SHADOW LANE
Mailing Address - Street 2:
Mailing Address - City:STATE COLLEGE
Mailing Address - State:PA
Mailing Address - Zip Code:16803-1237
Mailing Address - Country:US
Mailing Address - Phone:814-234-8011
Mailing Address - Fax:
Practice Address - Street 1:429 WEST SHADOW LN
Practice Address - Street 2:
Practice Address - City:STATE COLLEGE
Practice Address - State:PA
Practice Address - Zip Code:16803-1237
Practice Address - Country:US
Practice Address - Phone:814-234-8011
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-02
Last Update Date:2008-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS004510L103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical