Lisa M Elliott
Clinical Psychologist Clinical Child & Adolescent Psychologist
3201 Teasley Ln Ste 202
Denton
, Texas 76210-8302
Lisa M Elliott
Clinical Psychologist Clinical Child & Adolescent Psychologist
3201 Teasley Ln Ste 202
Denton
, Texas 76210-8302
(682) 885-3939
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About
Features
Specialties
- Clinical Psychologist
- Clinical Child & Adolescent Psychologist
Languages spoken
- English
Location
First Address
- Lisa M Elliott
- Po Box 99213
- Fort Worth, TX
- Zip : 76199-0213
- Fax : (682) 885-3939
- Phone : (682) 885-4871
Second Address
- Lisa M Elliott
- 3201 Teasley Ln Ste 202
- Denton, TX
- Zip : 76210-8302
- Fax : (940) 484-5075
- Phone : (940) 484-4311
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 103G00000X | Clinical Psychologist | 25244 | TX |
| N | 103TC0700X | Clinical Psychologist | 25244 | TX |
| Y | 103TC2200X | Clinical Child & Adolescent Psychologist | 25244 | TX |
National Provider Identifier
| NPI | 1093890139 |
|---|---|
| Provider Name | Lisa M Elliott |
| First Address | Fort Worth, TX 76199-0213 |
| Second Address | Denton, TX 76210-8302 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 26/10/2006 |
| Last Update Date | 09/04/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.