Individual
DR. ELIZABETH SHOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
1017 S FAIR OAKS AVE, PASADENA, CA 91105-2621
(626) 403-6308
(626) 403-6303
Mailing address
1017 S FAIR OAKS AVE, PASADENA, CA 91105-2621
(626) 403-6308
(626) 403-6303
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY27796
CA
103TH0004X
Health Psychologist
PSY27796
CA
Other
Enumeration date
01/07/2016
Last updated
01/07/2016
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