Doctor Name: | MRS. ELIZABETH ANN SHOLD |
NPI Number: | 1134398704 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA, LPCC-S |
License Number: | C.0602098 |
Business Practice Address: | 8305 Back Orrville Rd Orrville, OH - 446679546 |
Business Phone Number: | 3304642098 |
Business Fax Number: | |
Mailing Address: | 8305 Back Orrville Rd, ORRVILLE |
State: | OH |
Postal Code: | 446679546 |
Phone Number: | 3304642098 |
Fax Number: | |
NPI Enumeration Date: | 02/27/2008 |
NPI Last Update Date: | 04/22/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | C.0602098 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |