Provider Demographics
NPI:1467760215
Name:CAREY, ELIZABETH FARR (PSYD)
Entity Type:Individual
Prefix:MS
First Name:ELIZABETH
Middle Name:FARR
Last Name:CAREY
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 1:1210 E STATE ST
Mailing Address - Street 2:
Mailing Address - City:ITHACA
Mailing Address - State:NY
Mailing Address - Zip Code:14850-6204
Mailing Address - Country:US
Mailing Address - Phone:607-382-2346
Mailing Address - Fax:
Practice Address - Street 1:1210 E STATE ST
Practice Address - Street 2:
Practice Address - City:ITHACA
Practice Address - State:NY
Practice Address - Zip Code:14850-6204
Practice Address - Country:US
Practice Address - Phone:607-382-2346
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-15
Last Update Date:2010-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool