Provider Demographics
NPI:1649458456
Name:BIERLY, ELIN M (LICENSED PSYCHOLOGIS)
Entity type:Individual
Prefix:MRS
First Name:ELIN
Middle Name:M
Last Name:BIERLY
Suffix:
Gender:F
Credentials:LICENSED PSYCHOLOGIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 DEVONSHIRE LN
Mailing Address - Street 2:
Mailing Address - City:MALVERN
Mailing Address - State:PA
Mailing Address - Zip Code:19355-1682
Mailing Address - Country:US
Mailing Address - Phone:610-407-4301
Mailing Address - Fax:610-407-9591
Practice Address - Street 1:50 W WELSH POOL RD
Practice Address - Street 2:
Practice Address - City:EXTON
Practice Address - State:PA
Practice Address - Zip Code:19341-1200
Practice Address - Country:US
Practice Address - Phone:610-524-0520
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-04
Last Update Date:2008-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS007238L103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist