Provider Demographics
NPI:1407835259
Name:DOAK, ELIZABETH FLORENCE (PHD)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:FLORENCE
Last Name:DOAK
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 1:436 BELDON AVE
Mailing Address - Street 2:
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52246-3700
Mailing Address - Country:US
Mailing Address - Phone:319-338-2218
Mailing Address - Fax:
Practice Address - Street 1:436 BELDON AVE
Practice Address - Street 2:
Practice Address - City:IOWA CITY
Practice Address - State:IA
Practice Address - Zip Code:52246-3700
Practice Address - Country:US
Practice Address - Phone:319-338-2218
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-11
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA00717103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist