Individual
MS. ELIZABETH ANNE WARREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPA
Contact information
Practice address
6300 LYNN CREST LN APT 105, RALEIGH, NC 27609-2873
(919) 333-6893
Mailing address
6300 LYNN CREST LN APT 105, RALEIGH, NC 27609-2873
(919) 333-6893
Taxonomy
Speciality
Code
Description
License number
State
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary
2399
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2399
LPA
NC
Enumeration date
03/11/2008
Last updated
03/11/2008
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