Doctor Name: | MS. LINDA ELAINE ELLIOTT |
NPI Number: | 1104043918 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MAED |
License Number: | |
Business Practice Address: | 2349 Piccadilly Cir Sierra Vista, AZ - 856355078 |
Business Phone Number: | 5202499461 |
Business Fax Number: | |
Mailing Address: | 2349 Piccadilly Cir, SIERRA VISTA |
State: | AZ |
Postal Code: | 856355078 |
Phone Number: | 5202499461 |
Fax Number: | |
NPI Enumeration Date: | 04/20/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YS0200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | School |
Taxonomy Definition: |