Individual
MISS ELIZABETH ANN GAMBLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
2931 BREEZEWOOD AVE STE 100, FAYETTEVILLE, NC 28303-5281
(910) 677-0000
(910) 677-0099
Mailing address
2931 BREEZEWOOD AVE STE 100, FAYETTEVILLE, NC 28303-5281
(910) 677-0000
(910) 677-0099
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
1853
NC
103T00000X
Psychologist
1853
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2821711A
—
NC
05
—
6000651
—
NC
Enumeration date
08/09/2005
Last updated
01/07/2021
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