DR. MARY ELIZABETH ERTEL (NPI# 1457648206) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457648206 |
| Entity Type | Individual |
| Full Name | DR. MARY ELIZABETH ERTEL |
| Credential | PH.D. |
| Practice Address |
1024 E Lancaster Ave Bryn Mawr PA 19010-1409 |
| Practice Telephone | 6105251599 |
| Practice Fax Number | 6105251599 |
| Mailing Telephone | 6105251599 |
| Mailing Fax Number | 6105251599 |
| Enumeration Date | 2011-06-30 |
| Last Update Date | 2011-06-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PS016105 | PA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | PA STATE LICENSE NUMBER | PS016105 | 01 |
| PA | PA ACT 48 PROFESSIONAL PERSONNEL ID | 3010503 | 01 |
| Street Address |
1024 E LANCASTER AVE |
| City | BRYN MAWR |
| State | PA |
| Zip Code | 19010-1409 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003462169 | Nada Farag | Dentist | 275 S Bryn Mawr Ave., #d04, Bryn Mawr, PA 19010 | 2019-08-14 |
| 1841764669 | For Eyes Optical of Pa | Optometrist | 1211 W Lancaster Ave, Rosemont, PA 19010 | 2019-01-15 |
| 1205355617 | Julia Peyton Vollmer | Student in an Organized Health Care Education/Training Program | 415 S Ithan Ave, Bryn Mawr, PA 19010 | 2017-09-18 |
| 1235657081 | Megan Christine Rosenblatt | Nurse Practitioner | 925 W Lancaster Ave Ste 210, Bryn Mawr, PA 19010 | 2017-08-31 |
| 1720511561 | Victoria Mckenna | Nurse Practitioner | 830 Old Lancaster Rd Ste 300, Bryn Mawr, PA 19010 | 2017-04-08 |
| 1922544014 | Andrew John D'amico | Behavioral Analyst | 1030 East Lancaster Ave., Suite L-10, Bryn Mawr, PA 19010 | 2017-01-12 |
| 1487105615 | Primal Physical Therapy,llc | Physical Therapist | 1111 E Lancaster Ave, Bryn Mawr, PA 19010 | 2016-10-24 |
| 1730636234 | Denise Lindsay Currier | Optometrist | 1062 E. Lancaster Ave, Suite 15d, Rosemont, PA 19010 | 2016-09-01 |
| 1518353754 | Elise Paquin | Student in an Organized Health Care Education/Training Program | 135 S Bryn Mawr Ave Ste 205, Bryn Mawr, PA 19010 | 2015-04-14 |
| 1679980064 | Main Line Counseling Partners | Social Worker | 1084 E. Lancaster Avenue, Bryn Mawr, PA 19010 | 2014-07-17 |
| Find all providers in zip 19010 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457845372 | Abby Adler Mandel | Psychologist | 1062 E Lancaster Ave Ste 24, Bryn Mawr, PA 19010-1567 | 2018-06-15 |
| 1104275098 | Patricia Maggy Constantinian | Psychologist | 783 Robinhood Rd, Bryn Mawr, PA 19010-1239 | 2016-06-10 |
| 1417347253 | Sarah E. Scheckter | Psychologist | 100 Chetwynd Dr Ste 200, Bryn Mawr, PA 19010-1453 | 2015-02-02 |
| 1942611868 | Elizabeth Ginsberg Kamens | Psychologist | 101 Curwen Cir, Bryn Mawr, PA 19010-1614 | 2014-05-13 |
| 1568755403 | Deena L Newman | Psychologist | 1062 E Lancaster Ave Ste 2, Bryn Mawr, PA 19010-1568 | 2011-05-25 |
| 1619278769 | Eric Angelo Cotugno | Psychologist | 14 S. Bryn Mawr Ave, Suite 205, Bryn Mawr, PA 19010 | 2010-11-05 |
| 1649588740 | Dora Ghetie | Psychologist | 705 W Haverford Rd, Bryn Mawr, PA 19010-3128 | 2010-09-23 |
| 1548585177 | Sally B Holtz | Psychologist | 410 Great Springs Rd, Bryn Mawr, PA 19010-1716 | 2010-04-07 |
| 1174784177 | Jedidiah Siev | Psychologist | 940 E Haverford Rd Ste 301, Bryn Mawr, PA 19010-3859 | 2008-06-23 |
| 1831306927 | Priscilla Davidson Bright | Psychologist | 117 Pennsylvania Ave, Bryn Mawr, PA 19010-3110 | 2007-05-17 |
| Find all providers in BRYN MAWR | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.