Individual
ELIZABETH RENEE DISNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
6325 WOODSIDE CT STE 350, COLUMBIA, MD 21046-1042
(410) 910-9660
Mailing address
6325 WOODSIDE CT STE 350, COLUMBIA, MD 21046-1042
(410) 910-9660
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
04064
MD
103T00000X
Psychologist
Primary
04064
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
521316900
—
MD
Enumeration date
07/24/2006
Last updated
06/30/2022
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