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
Fax: (508) 755-0973
Website:

Health care specialties

SpecialtyCodeLicense #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 7 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 1265412175 NPPES
Massachusetts MEDICAID 0500372

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