Individual
DR. ELIZABETH CAROLE AMERINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
3020 W WHEATLAND RD, DALLAS, TX 75237-3537
(214) 499-3608
(972) 576-5691
Mailing address
PO BOX 1795, RED OAK, TX 75154-1566
(214) 499-3608
(972) 576-5691
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
24412
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00H81R
BLUE CROSS BLUE SHIELD
TX
05
—
098751302
—
TX
Enumeration date
06/04/2006
Last updated
03/10/2012
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