Provider Demographics
NPI:1932232196
Name:OXMAN, ELAINE B (PHD)
Entity Type:Individual
Prefix:DR
First Name:ELAINE
Middle Name:B
Last Name:OXMAN
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 1:62 NORTHVIEW DRIVE
Mailing Address - Street 2:
Mailing Address - City:NORTH HILLS
Mailing Address - State:PA
Mailing Address - Zip Code:19038
Mailing Address - Country:US
Mailing Address - Phone:215-885-2679
Mailing Address - Fax:
Practice Address - Street 1:1001 STERIGERE STREET
Practice Address - Street 2:NORRISTOWN STATE HOSPITAL
Practice Address - City:NORRISTOWN
Practice Address - State:PA
Practice Address - Zip Code:19401
Practice Address - Country:US
Practice Address - Phone:610-313-5234
Practice Address - Fax:610-313-1013
Is Sole Proprietor?:No
Enumeration Date:2007-03-14
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS000561L103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAPROVIDER #394001OtherPROVIDER
PALIC #PS000561LOtherLICENSE
PAMED PIN 756298KKBMedicare PIN