MEDICARE: DR. ELAINE ELIZABETH COONROD PH.D.

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	103TC0700X	Clinical Psychologist	3372	NC
2	103TM1800X	Intellectual & Developmental Disabilities Psychologist	3372	NC

General Provider Information

NPI Number	:	1225331796
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ELAINE ELIZABETH COONROD PH.D.

Provider Business Mailing Address
First Line	:	100 RENEE LYNN CT
Second Line	:
City	:	CARRBORO
State	:	NC
Zip	:	27510-6511
Country	:	US
Telephone Number	:	919-966-4684
Fax Number	:	919-966-4003

Provider Business Practice Location Address
First Line	:	CHAPEL HILL TEACCH CENTER
Second Line	:	CB# 6305
City	:	CHAPEL HILL
State	:	NC
Zip	:	27599-6305
Country	:	US
Telephone Number	:	919-966-4684
Fax Number	:	919-966-4003

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

Provider Enumeration Date	:	12/06/2010
Last Update Date	:	12/06/2010

Similar Medicare Providers

1952756082 — MS. ERIN MARCHANT MUSSON LCSW
Practice Location Address:

CB 6305 UNIVERSITY OF NORTH CAROLINA
CHAPEL HILL, NC
27599-6305

Practice Phone: 919-966-5693
Practice Fax:

1952985335 — DANIEL ARELLANO LOPEZ INTERPRETER
Practice Location Address:

6305 CHAPEL HILL BLVD APT D201
PASCO, WA
99301-3496

Practice Phone: 509-405-5225
Practice Fax:

1043010911 — GEORGE MOYET-MELENDEZ REGISTERED NURSE
Practice Location Address:

2818 CYPRESS RIDGE BLVD STE 101
WESLEY CHAPEL, FL
33544-6305

Practice Phone: 813-803-2972
Practice Fax:

1497866263 — MR. TIMOTHY ANDREW MARVIN LSA
Practice Location Address:

171 ROCK HOUSE DR
LIBERTY HILL, TX
78642-6305

Practice Phone: 512-656-2928
Practice Fax: 512-656-2928

1932266269 — MS. NICOLE VERONIQUE BROWN M.S., R.D., L.D.
Practice Location Address:

6305 CARDINAL HILL PL
SPRINGFIELD, VA
22152-2233

Practice Phone: 703-969-6114
Practice Fax: 703-991-1254

1407031156 — T.M. FIRST ASSISTING INC.
Practice Location Address:

171 ROCK HOUSE DR
LIBERTY HILL, TX
78642-6305

Practice Phone: 512-905-5813
Practice Fax: 512-515-0043

Directions to “ DR. ELAINE ELIZABETH COONROD PH.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.