Doctor Name: | MRS. ELIZABETH ANNE STALEY |
NPI Number: | 1285868430 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW, LICSW, LPC |
License Number: | 4490 |
Business Practice Address: | 515 Main St Apt A Williamstown, MA - 012672647 |
Business Phone Number: | 4134584823 |
Business Fax Number: | 4134584823 |
Mailing Address: | 515 Main St Apt A, WILLIAMSTOWN |
State: | MA |
Postal Code: | 012672647 |
Phone Number: | 4134584823 |
Fax Number: | 4134584823 |
NPI Enumeration Date: | 05/02/2009 |
NPI Last Update Date: | 05/02/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 4490 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TX |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |