Individual
ELISABETH THURLOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
5665 PONCE DE LEON BLVD, 2ND FLOOR, CORAL GABLES, FL 33146-2510
(305) 284-6140
Mailing address
5665 PONCE DE LEON BLVD, 2ND FLOOR, CORAL GABLES, FL 33146-2510
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY 6693
FL
Other
Enumeration date
10/20/2016
Last updated
10/20/2016
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