MEDICARE: ELIZABETH M COTTINGHAM MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	35072493	OH
2	2084P0804X	Child & Adolescent Psychiatry Physician	35072493	OH

General Provider Information

NPI Number	:	1881773406
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELIZABETH M COTTINGHAM MD

Provider Business Mailing Address
First Line	:	2751 NAPA VALLEY CORPORATE DR BLDG A
Second Line	:
City	:	NAPA
State	:	CA
Zip	:	94558-6216
Country	:	US
Telephone Number	:	707-253-4279
Fax Number	:

Provider Business Practice Location Address
First Line	:	2751 NAPA VALLEY CORPORATE DR BLDG A
Second Line	:
City	:	NAPA
State	:	CA
Zip	:	94558-6216
Country	:	US
Telephone Number	:	707-253-4279
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/03/2006
Last Update Date	:	04/08/2022

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