Gamble, Elizabeth Ann

Gamble, Elizabeth Ann is an sole proprietor health care provider with primary practice located at 2931 Breezewood Ave Ste 100 , Fayetteville NC 28303-5281. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical Neuropsychologist. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is her primary health care specialty. Gamble, Elizabeth Ann can be contacted via phone (910) 677-0000.

Contact Information

Primary practice address
2931 Breezewood Ave Ste 100 Fayetteville NC 28303-5281
Phone: (910) 677-0000
Fax: (910) 677-0099
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 1853 North Carolina
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 1853 North Carolina

Profile Details

NPI number 1093716672
LBN Legal business name Gamble, Elizabeth Ann
Credentials PSY.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 9th, 2005
Last updated Jan 7th, 2021 - about 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093716672 NPPES
North Carolina MEDICAID 6000651
North Carolina MEDICAID 2821711A

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