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Individual

ELIZABETH K LADD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ED. D, PHD

Contact information

Practice address
5789 BATTLEFIELD PKWY, RINGGOLD, GA 30736-5154
(423) 451-2111
Mailing address
5789 BATTLEFIELD PKWY, RINGGOLD, GA 30736-5154
(423) 451-2111

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
82-07P
AR
103T00000X
Psychologist
Primary
PSY002841
GA
103TB0200X
Cognitive & Behavioral Psychologist
PSY002841
GA
103TC1900X
Counseling Psychologist
PSY002841
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
194550280A
GA
Enumeration date
01/25/2007
Last updated
12/30/2023
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