ELENA MAYVILLE

BOISE, ID
NPI1437446176
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: NY  021223)
Additional Taxonomies103TC0700X Psychologist, Clinical
(Licence: ID  203487)
Enumeration Date2011-07-01
Last Update Date2023-06-27
Business Address
Dr. ELENA MAYVILLE Ph.D.
1004 W FORT ST
BOISE, ID 83702-5427
Phone number: 212-254-3967
Mailing Address
Dr. ELENA MAYVILLE Ph.D.
1004 W FORT ST
BOISE, ID 83702-5427
Phone number: