Individual
MRS. ELIZABETH R PROCTOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC
Contact information
Practice address
3001 THORNTON AVE, DES MOINES, IA 50321-2020
(512) 557-5292
Mailing address
3001 THORNTON AVE, DES MOINES, IA 50321-2020
(512) 557-5292
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
001918
IA
Other
Enumeration date
08/01/2012
Last updated
08/01/2012
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