| Doctor Name: | TERESA KAY ELLIOTT |
| NPI Number: | 1053530659 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PH.D. |
| License Number: | PSY1888 |
| Business Practice Address: | Kingsbury 5000 14th Street N.w. Washington, DC - 200116926 |
| Business Phone Number: | 2025452418 |
| Business Fax Number: | 2027225554 |
| Mailing Address: | Kingsbury, 5000 14th Street N.w. WASHINGTON |
| State: | DC |
| Postal Code: | 200116926 |
| Phone Number: | 2025452418 |
| Fax Number: | 2027225554 |
| NPI Enumeration Date: | 04/24/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103G00000X |
| License Number: | PSY1888 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | DC |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Clinical Neuropsychologist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |