Most Relevant Information
Provider Data
| NPI Number: | 1003268509 |
| Provider Name: | ELISE ENSELEIT |
| Entity Type: | Individual |
| Taxonomy Code: | 103TC0700X |
| Specialty: | Psychologist |
| License Number: | 024762 |
Most Important Dates
| Enumeration Date: | 07/07/2016 |
| Last Updated: | 05/15/2024 |
Provider Practice Location
7345 TRANSIT RD
EAST AMHERST
NY
140511180
Practice Location Phone/Fax
| Phone: | 7164469226 |
| Fax: |
Provider Mailing Location
7345 TRANSIT RD
EAST AMHERST
NY
140511180
Provider Mailing Phone/Fax
| Phone: | 7164469226 |
| Fax: |