Provider Demographics
NPI:1063678480
Name:SAYLOR, ELIZABETH NICOLE (PSYD)
Entity Type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:NICOLE
Last Name:SAYLOR
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:ELIZABETH
Other - Middle Name:NICOLE
Other - Last Name:COOK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2511 E 5TH AVE
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37914-5214
Mailing Address - Country:US
Mailing Address - Phone:423-368-3715
Mailing Address - Fax:
Practice Address - Street 1:7900 JOHNSON DR
Practice Address - Street 2:MYRTLE HALL ATTN: DR. SAYLOR
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37998-0001
Practice Address - Country:US
Practice Address - Phone:423-368-3715
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-05
Last Update Date:2015-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN2915103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNQ001411Medicaid
TN103I683138Medicare PIN