Most Relevant Information
Provider Data
| NPI Number: | 1003367624 |
| Provider Name: | NOEL ELYSE |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 10/19/2016 |
| Last Updated: | 10/19/2016 |
Provider Practice Location
500 WALNUT ST
MCKEESPORT
PA
151322801
Practice Location Phone/Fax
| Phone: | 4126758530 |
| Fax: | 4126758920 |
Provider Mailing Location
500 WALNUT ST
MCKEESPORT
PA
151322801
Provider Mailing Phone/Fax
| Phone: | 4126758530 |
| Fax: | 4126758920 |