Provider Demographics
NPI:1376708065
Name:AYORINDE, ELIZABETH O
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:O
Last Name:AYORINDE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1421 ATKINS ST
Mailing Address - Street 2:
Mailing Address - City:CEDAR HILL
Mailing Address - State:TX
Mailing Address - Zip Code:75104-8121
Mailing Address - Country:US
Mailing Address - Phone:214-715-5725
Mailing Address - Fax:972-291-3176
Practice Address - Street 1:1421 ATKINS ST
Practice Address - Street 2:
Practice Address - City:CEDAR HILL
Practice Address - State:TX
Practice Address - Zip Code:75104-8121
Practice Address - Country:US
Practice Address - Phone:214-715-5725
Practice Address - Fax:972-291-3176
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-23
Last Update Date:2008-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health