Provider Demographics
NPI:1972816437
Name:MOCI, ELONA (PHD)
Entity Type:Individual
Prefix:DR
First Name:ELONA
Middle Name:
Last Name:MOCI
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:DR
Other - First Name:ELONA
Other - Middle Name:
Other - Last Name:SULI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1605 N CEDAR CREST BLVD STE 411
Mailing Address - Street 2:
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18104-2323
Mailing Address - Country:US
Mailing Address - Phone:484-884-0688
Mailing Address - Fax:484-884-0628
Practice Address - Street 1:1611 POND RD STE 400
Practice Address - Street 2:
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18104
Practice Address - Country:US
Practice Address - Phone:484-273-4837
Practice Address - Fax:484-273-1377
Is Sole Proprietor?:No
Enumeration Date:2010-07-26
Last Update Date:2022-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC103G00000X103G00000X
PAPS017179103G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist