Provider Demographics
NPI:1699936765
Name:UFFELMANN, ELSIE A (PHD)
Entity type:Individual
Prefix:DR
First Name:ELSIE
Middle Name:A
Last Name:UFFELMANN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:152 OLEAN ST
Mailing Address - Street 2:
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01602-4143
Mailing Address - Country:US
Mailing Address - Phone:508-612-1869
Mailing Address - Fax:
Practice Address - Street 1:152 OLEAN ST
Practice Address - Street 2:
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01602-4143
Practice Address - Country:US
Practice Address - Phone:508-612-1869
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-21
Last Update Date:2024-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAPSY10105103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical