Provider Demographics
NPI:1639400898
Name:CORDER, ELIZABETH HEDLUND (PHD)
Entity Type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:HEDLUND
Last Name:CORDER
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 1:3900 PASEO DEL SOL
Mailing Address - Street 2:
Mailing Address - City:SANTA FE
Mailing Address - State:NM
Mailing Address - Zip Code:87507-4072
Mailing Address - Country:US
Mailing Address - Phone:505-986-6006
Mailing Address - Fax:505-216-1144
Practice Address - Street 1:3900 PASEO DEL SOL
Practice Address - Street 2:
Practice Address - City:SANTA FE
Practice Address - State:NM
Practice Address - Zip Code:87507-4072
Practice Address - Country:US
Practice Address - Phone:505-986-6006
Practice Address - Fax:505-216-1144
Is Sole Proprietor?:No
Enumeration Date:2010-01-27
Last Update Date:2010-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist