| Doctor Name: | ELIZABETH DOWDY MCQUEEN |
| NPI Number: | 1053676155 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPC |
| License Number: | 1587 |
| Business Practice Address: | 1403 43rd Ave Gulfport, MS - 395012545 |
| Business Phone Number: | 2288977730 |
| Business Fax Number: | 2285750886 |
| Mailing Address: | Po Box 7827, GULFPORT |
| State: | MS |
| Postal Code: | 395067827 |
| Phone Number: | 2288977730 |
| Fax Number: | 2285750886 |
| NPI Enumeration Date: | 07/05/2012 |
| NPI Last Update Date: | 07/05/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 1587 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MS |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |