Provider Demographics
NPI:1255524682
Name:ELBERG, TOVA (PSYCHOLOGIST)
Entity type:Individual
Prefix:DR
First Name:TOVA
Middle Name:
Last Name:ELBERG
Suffix:
Gender:F
Credentials:PSYCHOLOGIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:48 SZOLD STREET
Mailing Address - Street 2:APT 29
Mailing Address - City:RAMAT HASHARON
Mailing Address - State:ISRAEL
Mailing Address - Zip Code:47225
Mailing Address - Country:IL
Mailing Address - Phone:9723-549-1375
Mailing Address - Fax:9723-549-3127
Practice Address - Street 1:48 SZOLD STREET
Practice Address - Street 2:APT 29
Practice Address - City:RAMAT HASHARON
Practice Address - State:ISRAEL
Practice Address - Zip Code:47225
Practice Address - Country:IL
Practice Address - Phone:9723-549-1375
Practice Address - Fax:9723-549-3127
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-20
Last Update Date:2007-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY010464103TM1800X, 103G00000X, 103TC0700X, 103TC2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103TM1800XBehavioral Health & Social Service ProvidersPsychologistIntellectual & Developmental Disabilities
No103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist
No103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent