Provider Demographics
NPI:1023037728
Name:KOPROWSKI, ELIZABETH C (PHD)
Entity Type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:C
Last Name:KOPROWSKI
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:18 N HANSON ST
Mailing Address - Street 2:MILL PLACE II, SUITE 1
Mailing Address - City:EASTON
Mailing Address - State:MD
Mailing Address - Zip Code:21601-3134
Mailing Address - Country:US
Mailing Address - Phone:410-822-3188
Mailing Address - Fax:410-820-4571
Practice Address - Street 1:18 N HANSON ST
Practice Address - Street 2:MILL PLACE II, SUITE 1
Practice Address - City:EASTON
Practice Address - State:MD
Practice Address - Zip Code:21601-3134
Practice Address - Country:US
Practice Address - Phone:410-822-3188
Practice Address - Fax:410-820-4571
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-19
Last Update Date:2007-11-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MD02958103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDGL09Medicare PIN