Panagoulis, Elizabeth D

Panagoulis, Elizabeth D is an individual health care provider with primary practice located at 30 Temple St. Suite # 105, Nashua NH 03060. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Panagoulis, Elizabeth D can be contacted via phone (603) 880-9880.

Contact Information

Primary practice address
30 Temple St. Suite # 105 Nashua NH 03060
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 15 New Hampshire
Behavioral Health & Social Service Providers / Psychologist 103T00000X 3330 Massachusetts

Profile Details

NPI number 1093852816
LBN Legal business name Panagoulis, Elizabeth D
Credentials LCMHC
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 31st, 2007
Last updated Jan 21st, 2015 - about 11 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 1093852816 NPPES
New Hampshire MEDICAID 30007414

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