# ELIZABETH ROSE WOLOCK

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1851120299
- **Gender:** F

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103TC2200X | Clinical Child & Adolescent Psychologist | 2025046584 | MO | Yes |
| 103TC2200X | Clinical Child & Adolescent Psychologist | LP03582 | KS | — |
| 2080P0006X | Developmental - Behavioral Pediatrics Physician | 2025046584 | MO | Yes |
| 2080P0006X | Developmental - Behavioral Pediatrics Physician | LP03582 | KS | — |
| 390200000X | Student in an Organized Health Care Education/Training Program | — | — | Yes |

## Other

- **Enumeration date:** 08/01/2024
- **Last updated:** 09/16/2026