Provider Demographics
NPI:1225493018
Name:STUDWELL, ELIZABETH M (PSYD)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:M
Last Name:STUDWELL
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:182 HORSESHOE CIR
Mailing Address - Street 2:
Mailing Address - City:OSSINING
Mailing Address - State:NY
Mailing Address - Zip Code:10562-7000
Mailing Address - Country:US
Mailing Address - Phone:914-419-3253
Mailing Address - Fax:
Practice Address - Street 1:182 HORSESHOE CIR
Practice Address - Street 2:
Practice Address - City:OSSINING
Practice Address - State:NY
Practice Address - Zip Code:10562-7000
Practice Address - Country:US
Practice Address - Phone:914-419-3253
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-12-21
Last Update Date:2015-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY020943103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical