Individual
ELIZABETH AMANDA CARMICHAEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1730515032
RIVERSIDE UNIVERSITY HEALTH SYSTEM - BEHAVIORAL HEALTH
CA
Enumeration date
01/11/2019
Last updated
06/11/2019
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