Austin, Elizabeth
Austin, Elizabeth is an sole proprietor health care provider with primary practice located at 121 Lincoln Street Second Floor, Worcester MA 01605-2429. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Austin, Elizabeth can be contacted via phone (508) 755-2056.Contact Information
Primary practice address
121 Lincoln Street Second Floor
Worcester MA 01605-2429
Phone: (508) 755-2056
Fax: (508) 755-0973
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 7792 | Massachusetts |
Profile Details
| NPI number | 1265412175 |
|---|---|
| LBN Legal business name | Austin, Elizabeth |
| Credentials | PSY.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 18th, 2006 |
| Last updated | Aug 14th, 2017 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1265412175 | NPPES |
| Massachusetts | MEDICAID | 0500372 |
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