Individual
DR. ELIZABETH M SCANLON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
107 S LUCILLE ST, BEVERLY HILLS, FL 34465-4225
(321) 343-1175
(855) 399-8331
Mailing address
107 S LUCILLE ST, BEVERLY HILLS, FL 34465-4225
(321) 343-1175
(855) 399-8331
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
4999
MA
103TC0700X
Clinical Psychologist
Primary
891
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0609214YONH02
BCBS BHN NH VT MA CT
—
01
—
1306936372
INDIVIDUAL NPI
NH
01
—
1912079443
GROUP NPI
NH
01
—
27210
PTAN
NH
05
—
30421468
—
NH
Enumeration date
10/13/2006
Last updated
03/12/2026
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