Individual
DR. ELIZABETH PERRYMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, LCSW, BCD
Contact information
Practice address
17 CHOCTAW RD, EGLIN AFB, FL 32542-1200
(410) 258-4083
Mailing address
17 CHOCTAW RD, EGLIN AFB, FL 32542-1200
(410) 258-4083
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4077
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LCSW-4077
HAWAII PROFESSIONAL AND VOCATIONAL LICENSES
HI
Enumeration date
08/07/2014
Last updated
08/05/2024
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