Provider Demographics
NPI:1710066865
Name:MCARDLE, ELIZA (PHD)
Entity Type:Individual
Prefix:
First Name:ELIZA
Middle Name:
Last Name:MCARDLE
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 1:893 WEST ST
Mailing Address - Street 2:HAMPSHIRE COLLEGE HEALTH SERVICES
Mailing Address - City:AMHERST
Mailing Address - State:MA
Mailing Address - Zip Code:01002-3372
Mailing Address - Country:US
Mailing Address - Phone:413-559-6031
Mailing Address - Fax:413-577-5117
Practice Address - Street 1:893 WEST ST
Practice Address - Street 2:HAMPSHIRE COLLEGE HEALTH SERVICES
Practice Address - City:AMHERST
Practice Address - State:MA
Practice Address - Zip Code:01002-3372
Practice Address - Country:US
Practice Address - Phone:413-559-6031
Practice Address - Fax:413-577-5117
Is Sole Proprietor?:No
Enumeration Date:2006-11-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA8492103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical