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Individual

DR. ELIZABETH P. SPARROW

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
N CAROLINA STATE UNIVERSITY, DEPARTMENT OF PSYCHOLOGY, BOX 7650, RALEIGH, NC 27695-0001
(410) 905-4607
Mailing address
PO BOX 20382, RALEIGH, NC 27619-0382
(410) 905-4607

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
03955
MD
103G00000X
Clinical Neuropsychologist
Primary
3756
NC
103T00000X
Psychologist
03955
MD
103TC0700X
Clinical Psychologist
03955
MD
103TC2200X
Clinical Child & Adolescent Psychologist
03955
MD
103TM1800X
Intellectual & Developmental Disabilities Psychologist
03955
MD

Other

Enumeration date
02/19/2007
Last updated
11/08/2010
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