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General NPI Number Information
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NPI Number | 1851597710
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Entity Type | Organization
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Legal Business Name | ELIZABETH H. AKEY, PHD PSYCHOLOGIST
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Dates
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Enumeration Date | 06/26/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 148 SAGAMORE PKWY W
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City | WEST LAFAYETTE BRA
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State | IN
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Zip | 47906-1569
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Country | US
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Telephone | 763-463-3016
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Fax | 765-463-2710
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Provider Business Mailing Address
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Address Line | 148 SAGAMORE PKWY W
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City | WEST LAFAYETTE BRA
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State | IN
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Zip | 47906-1569
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Country | US
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Telephone | 763-463-3016
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Fax | 765-463-2710
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Authorized Official
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Title or Position | OWNER
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Name | DR. ELIZABETH H AKEY
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Credential | PHD, HSPP
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Telephone | 765-463-3016
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 20040554
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License Number State | IN
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