Provider Demographics
NPI:1306530209
Name:TETI, ELIZABETH E (LPC)
Entity type:Individual
Prefix:PROF
First Name:ELIZABETH
Middle Name:E
Last Name:TETI
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:706 ELLIS AVE
Mailing Address - Street 2:
Mailing Address - City:NEWTOWN SQ
Mailing Address - State:PA
Mailing Address - Zip Code:19073-3226
Mailing Address - Country:US
Mailing Address - Phone:610-675-4493
Mailing Address - Fax:
Practice Address - Street 1:706 ELLIS AVE
Practice Address - Street 2:
Practice Address - City:NEWTOWN SQ
Practice Address - State:PA
Practice Address - Zip Code:19073-3226
Practice Address - Country:US
Practice Address - Phone:610-675-4493
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-05
Last Update Date:2023-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC014726101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional