Doctor Name: | DR. ELIZABETH AUSTIN |
NPI Number: | 1265412175 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PSY.D. |
License Number: | 7792 |
Business Practice Address: | 300 W Main St Building A Northborough, MA - 015322132 |
Business Phone Number: | 5083667707 |
Business Fax Number: | 5083930026 |
Mailing Address: | 300 W Main St, Building A NORTHBOROUGH |
State: | MA |
Postal Code: | 015322132 |
Phone Number: | 5083667707 |
Fax Number: | 5083930026 |
NPI Enumeration Date: | 01/18/2006 |
NPI Last Update Date: | 03/14/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 7792 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |