Individual
DR. JOAN ELLIOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
1900 E TAHQUITZ CANYON WAY, SUITE C-3, PALM SPRINGS, CA 92262-7024
(760) 898-3036
Mailing address
1900 E TAHQUITZ CANYON WAY, SUITE C-3, PALM SPRINGS, CA 92262-7024
(760) 898-3036
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY 19491
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DQ980A
PTAN
CA
Enumeration date
04/11/2008
Last updated
08/09/2011
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