Elizabeth Ann Earle in Salt Lake City - Clinical

Elizabeth Ann Earle - NPI 1558351007

Elizabeth Ann Earle is a Clinical in Salt Lake City, Utah. Elizabeth Ann Earle practices all healthcare services and medical treatments related to Clinical. The NPI Number for Elizabeth Ann Earle is 1558351007. The last update date is 2018-08-13.

Elizabeth Ann Earle's current location address is 4568 S Highland Dr Ste 270, Salt Lake City, Utah. You can contact this provider via phone number 8014782780 and fax number 8014782781. The mailing address for Elizabeth Ann Earle is 4568 S Highland Dr Ste 270, Salt Lake City, Utah. To know further, please read the information below!

Provider Profile Detail

Provider Name Elizabeth Ann Earle
Address 4568 S Highland Dr Ste 270, Salt Lake City, Utah
Phone Number 8014782780
Fax Number 8014782781
Sole Proprietor N
Credentials PH.D.

NPI Number Detail

NPI Number 1558351007
Provider Enumeration Date 2005-10-26
Last Updated Date 2018-08-13

Provider Mailing Address Detail

Address 4568 S Highland Dr Ste 270
City Salt Lake City
State Utah (UT)
Post Code 84117
Phone Number 8014782780
Fax Number 8014782781

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 103Tc0700X
Licence No 377440-2501
Definition:
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
R13268 UT STERLING
680012550 UT RAILROAD MEDICARE
37744025001001 UT BLUE CROSS BLUE SHIELD

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FAQs about Elizabeth Ann Earle

What is the unique identifier code issued to Elizabeth Ann Earle by the Centers for Medicare & Medicaid Services?

The Elizabeth Ann Earle has been assigned the NPI (National Provider Identifier) 1558351007. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Elizabeth Ann Earle is physically located?

The Elizabeth Ann Earle is situated at the following address: 4568 S Highland Dr Ste 270, Salt Lake City, UT 84117.

What is Elizabeth Ann Earle's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Elizabeth Ann Earle is Clinical, and the taxonomy classification code that categorizes this area of expertise is 103Tc0700X.

On what date did the Elizabeth Ann Earle receive the assignment of its 1558351007 from the Centers for Medicare & Medicaid Services?

The Elizabeth Ann Earle was issued its 1558351007 by the Centers for Medicare & Medicaid Services on 2005-10-26.

As of what date were the Elizabeth Ann Earle's details last updated?

The information pertaining to the Elizabeth Ann Earle, including its address, specialty, and other details, was most recently updated on 2018-08-13.

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