MEDICARE: ELIZABETH C. STIRLING LLC

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	594	NM

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1457472649
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ELIZABETH C. STIRLING LLC

Provider Business Mailing Address
First Line	:	PO BOX 1267
Second Line	:
City	:	SANTA FE
State	:	NM
Zip	:	87504-1267
Country	:	US
Telephone Number	:	505-983-1583
Fax Number	:	505-989-1748

Provider Business Practice Location Address
First Line	:	1063 GOVERNOR DEMPSEY DR
Second Line	:
City	:	SANTA FE
State	:	NM
Zip	:	87501-1045
Country	:	US
Telephone Number	:	505-983-1583
Fax Number	:	505-989-1748

Authorized Official
Title or Position	:	PSYCHOLOGIST
Name	:	DR. ELIZABETH COLE STIRLING
Credential	:	PH.D.
Telephone Number	:	505-983-1583

Provider Enumeration Date	:	04/03/2007
Last Update Date	:	08/22/2020

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