Wyatt, Elizabeth Marie

Wyatt, Elizabeth Marie is an individual health care provider with primary practice located at 1009 N Georgetown St , Round Rock TX 78664-3289. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Wyatt, Elizabeth Marie can be contacted via phone (512) 255-1720.

Contact Information

Primary practice address
1009 N Georgetown St Round Rock TX 78664-3289
Phone: (512) 255-1720
Fax: (512) 244-8371
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 13468 Texas

Profile Details

NPI number 1962544619
LBN Legal business name Wyatt, Elizabeth Marie
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 12th, 2007
Last updated Jul 8th, 2007 - about 19 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 1962544619 NPPES
Texas MEDICAID PENDING

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