Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103G00000X | Clinical Psychologist | 1849 | NC |
Y | 103TC0700X | Clinical Psychologist | 1849 | NC |
N | 102L00000X | Psychologist | 1849 | NC |
N | 103T00000X | Psychologist | 1849 | NC |
NPI | 1013086255 |
---|---|
Provider Name | Elizabeth Sarah Conder |
First Address | Asheville, NC 28801-3000 |
Second Address | Asheville, NC 28801-3008 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/11/2006 |
Last Update Date | 28/02/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0436Q | BCBS (01) | NC |
6000034 | (05) | NC |