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NPI Code Detail

MEDICARE: DR. ELIZABETH CAROLE AMERINE PH.D.

MEDICARE: DR. ELIZABETH CAROLE AMERINE 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
1103TC0700XClinical Psychologist24412TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
200H81ROTHERTXBLUE CROSS BLUE SHIELD

General Provider Information

NPI Number : 1518906908
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ELIZABETH CAROLE AMERINE PH.D.
Provider Business Mailing Address
First Line : PO BOX 1795
Second Line :
City : RED OAK
State : TX
Zip : 75154-1566
Country : US
Telephone Number : 214-499-3608
Fax Number : 972-576-5691
Provider Business Practice Location Address
First Line : 3020 W WHEATLAND RD
Second Line :
City : DALLAS
State : TX
Zip : 75237-3537
Country : US
Telephone Number : 214-499-3608
Fax Number : 972-576-5691
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/04/2006
Last Update Date : 03/10/2012

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