Provider Demographics
NPI:1154436087
Name:SPLITTER, ELINOR (LCSW)
Entity type:Individual
Prefix:MS
First Name:ELINOR
Middle Name:
Last Name:SPLITTER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 E SYBELIA AVE
Mailing Address - Street 2:SUITE 165
Mailing Address - City:MAITLAND
Mailing Address - State:FL
Mailing Address - Zip Code:32751-4763
Mailing Address - Country:US
Mailing Address - Phone:407-421-6943
Mailing Address - Fax:
Practice Address - Street 1:100 E SYBELIA AVE
Practice Address - Street 2:SUITE 165
Practice Address - City:MAITLAND
Practice Address - State:FL
Practice Address - Zip Code:32751-4763
Practice Address - Country:US
Practice Address - Phone:407-421-6943
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW64971041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLZ041RZMedicare ID - Type Unspecified