Disney, Elizabeth Renee

Disney, Elizabeth Renee is an individual health care provider with primary practice located at 6325 Woodside Ct Ste 350 , Columbia MD 21046-1042. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Disney, Elizabeth Renee can be contacted via phone (410) 910-9660.

Contact Information

Primary practice address
6325 Woodside Ct Ste 350 Columbia MD 21046-1042
Phone: (410) 910-9660
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 04064 Maryland
Behavioral Health & Social Service Providers / Psychologist 103T00000X 04064 Maryland

Profile Details

NPI number 1770505331
LBN Legal business name Disney, Elizabeth Renee
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 24th, 2006
Last updated Jun 30th, 2022 - about 3 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 1770505331 NPPES
Maryland MEDICAID 521316900

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