| Doctor Name: | ELIZABETH D SELLERS |
| NPI Number: | 1114205887 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PHD |
| License Number: | |
| Business Practice Address: | 289 Ireland Ave Fort Knox, KY - 401215111 |
| Business Phone Number: | 5026249626 |
| Business Fax Number: | |
| Mailing Address: | 289 Ireland Ave, FORT KNOX |
| State: | KY |
| Postal Code: | 401215111 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 07/29/2011 |
| NPI Last Update Date: | 10/16/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC1900X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Counseling |
| Taxonomy Definition: | |