Roberts, Elizabeth Jeanne

Roberts, Elizabeth Jeanne is an individual health care provider with primary practice located at 11361 N. 99Th Avenue Suite 106, Peoria AZ 85345-5469. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Roberts, Elizabeth Jeanne can be contacted via phone (623) 487-7763.

Contact Information

Primary practice address
11361 N. 99Th Avenue Suite 106 Peoria AZ 85345-5469
Phone: (623) 487-7763
Fax: (623) 486-8276
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X LCSW-11624 Arizona

Profile Details

NPI number 1730275454
LBN Legal business name Roberts, Elizabeth Jeanne
Credentials MSW
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2006
Last updated Jul 9th, 2007 - about 18 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 1730275454 NPPES
Arizona MEDICAID 940058

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