Provider Demographics
NPI:1841455078
Name:JAMES-RIVERS, ELENA E (MASTERS)
Entity type:Individual
Prefix:
First Name:ELENA
Middle Name:E
Last Name:JAMES-RIVERS
Suffix:
Gender:F
Credentials:MASTERS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 YALE AVE
Mailing Address - Street 2:
Mailing Address - City:MORTON
Mailing Address - State:PA
Mailing Address - Zip Code:19070-1918
Mailing Address - Country:US
Mailing Address - Phone:610-938-9000
Mailing Address - Fax:610-938-9888
Practice Address - Street 1:3900 CITY AVE
Practice Address - Street 2:1207
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19131-2908
Practice Address - Country:US
Practice Address - Phone:215-878-3532
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-07-28
Last Update Date:2008-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist