Provider Demographics
NPI:1447464763
Name:JIMENEZ-FRANCIS, ELSA J (MS)
Entity type:Individual
Prefix:MISS
First Name:ELSA
Middle Name:J
Last Name:JIMENEZ-FRANCIS
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:350 GEORGE STREET
Mailing Address - Street 2:YALE CHILD STUDY CENTER
Mailing Address - City:NEW HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06511
Mailing Address - Country:US
Mailing Address - Phone:203-432-0866
Mailing Address - Fax:203-737-5455
Practice Address - Street 1:350 GEORGE STREET
Practice Address - Street 2:YALE CHILD STUDY CENTER
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06511
Practice Address - Country:US
Practice Address - Phone:203-432-0866
Practice Address - Fax:203-737-5455
Is Sole Proprietor?:No
Enumeration Date:2007-05-09
Last Update Date:2023-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT3075106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist