Search › Idaho › 103TC0700X
Elena Mayville, PH.D
NPI 1437446176 · on the registry since 2011 · sole proprietor
Practice
- Address
- 1004 W Fort St
Boise, ID 83702 - Phone
- (212) 254-3967
Additional practice sites
- 425 E 61st St Ph Floor, New York, NY
Registry record
- Primary taxonomy
- 103TC0700X
103TC0700X
- Also registered as
- 103TC0700X
- Licence states on file
- ID, NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-06-27
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho