Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TS0200X | School Psychologist | AZ |
NPI | 1013196708 |
---|---|
Provider Name | Dr. Elizabeth Mcevoy-Rumbo |
First Address | Coolidge, AZ 85228-4302 |
Second Address | Coolidge, AZ 85228-4302 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/10/2007 |
Last Update Date | 12/11/2007 |