Individual
DR. ELIZABETH JERISON TERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
2211 CORINTH AVE STE 309, LOS ANGELES, CA 90064-1622
(310) 454-3325
Mailing address
1112 MONTANA AVE, # 113, SANTA MONICA, CA 90403-1652
(310) 454-3325
(310) 473-2465
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PSY 20657
CA
103TB0200X
Cognitive & Behavioral Psychologist
PSY 20657
CA
103TC0700X
Clinical Psychologist
PSY 20657
CA
103TC2200X
Clinical Child & Adolescent Psychologist
PSY 20657
CA
Other
Enumeration date
06/11/2008
Last updated
02/27/2021
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