Provider Demographics
NPI:1124441787
Name:MIKOLAJCZYK, ELIZABETH HOPE (PSYD, ABSNP, BCBA)
Entity type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:HOPE
Last Name:MIKOLAJCZYK
Suffix:
Gender:F
Credentials:PSYD, ABSNP, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 BECKET CT
Mailing Address - Street 2:
Mailing Address - City:HOCKESSIN
Mailing Address - State:DE
Mailing Address - Zip Code:19707-1139
Mailing Address - Country:US
Mailing Address - Phone:302-544-2573
Mailing Address - Fax:
Practice Address - Street 1:6 BECKET CT
Practice Address - Street 2:
Practice Address - City:HOCKESSIN
Practice Address - State:DE
Practice Address - Zip Code:19707-1139
Practice Address - Country:US
Practice Address - Phone:302-544-2573
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-31
Last Update Date:2024-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty