Organization
ELIOT DENNARD PHD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELIZABETH ELIOT DENNARD PH.D. (OWNER)
(405) 821-0843
Entity
Organization
Contact information
Practice address
5502 58TH ST STE 600, LUBBOCK, TX 79414-2087
(806) 513-3920
Mailing address
5502 58TH STREET, SUITE 600, LUBBOCK, TX 79414-7723
(405) 821-0843
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
37378
TX
Other
Enumeration date
01/03/2017
Last updated
03/17/2018
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