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MS. ELIZABETH MARIE WYATT LPC NPI 1962544619


NPI Information

NPI: 1962544619
Provider Name: MS. ELIZABETH MARIE WYATT, LPC
Classification: Counselor - 101Y00000X
Entity Type: Individual
Address:
1009 N GEORGETOWN ST
ROUND ROCK, TX
ZIP 78664
Phone: (512) 255-1720
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MS. Elizabeth Marie Wyatt, LPC is a counselor in Round Rock, TX. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. MS. Elizabeth Marie Wyatt, LPC NPI is 1962544619. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1009 N GEORGETOWN ST
ROUND ROCK, TX
ZIP 78664-289
Phone: (512) 255-1720
Fax: (512) 244-8371

The enumeration date for this NPI number is 2/12/2007 and was last updated on 7/8/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101Y00000XCounselor13468TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1PENDINGMEDICAIDTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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