Provider Demographics
NPI:1225214737
Name:MARTIN, ELIZABETH MCGEE (PHD)
Entity Type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:MCGEE
Last Name:MARTIN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 SHANNON OAKS CIR
Mailing Address - Street 2:STE 200
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27511-5570
Mailing Address - Country:US
Mailing Address - Phone:919-622-1303
Mailing Address - Fax:
Practice Address - Street 1:201 SHANNON OAKS CIR
Practice Address - Street 2:STE 200
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27511-5570
Practice Address - Country:US
Practice Address - Phone:919-622-1303
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-14
Last Update Date:2009-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC102751103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical