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Individual

DR. ELIZABETH EATON MACDOUGALL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
5505 HOPKINS BAYVIEW CIR, BALTIMORE, MD 21224-6821
(410) 550-0200
Mailing address
9664 GUILFORD RD, COLUMBIA, MD 21046-1999
(240) 568-5020

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
03188
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
031400500
MD
Enumeration date
08/21/2006
Last updated
07/08/2007
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