Individual
DR. ELIZABETH CECELIA OWEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY. D.
Contact information
Practice address
1213 CULBRETH DR, WILMINGTON, NC 28405-3684
(910) 256-5527
Mailing address
831 ROYAL BONNET CT, WILMINGTON, NC 28405-8367
(910) 793-4852
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2655
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
045GW
PSYCHOLOGIST
NC
Enumeration date
10/16/2006
Last updated
07/08/2007
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