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Individual

DR. ELIZABETH SUMNER SPIVEY

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
121 W 3RD ST, SUITE 203, YANKTON, SD 57078
(605) 668-2222
(605) 668-2222
Mailing address
PO BOX 526, 121 W 3RD SUITE 203, YANKTON, SD 57078
(605) 668-2222
(605) 668-2222

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
260
SD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0040573
BLUE CROSS BLUE SHIELD
SD
01
9204887
DAKOTACARE
SD
Enumeration date
06/11/2006
Last updated
07/08/2007
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