Provider Demographics
NPI:1750655528
Name:LOUX, ELIZABETH RAE VOTAW (PSYD)
Entity Type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:RAE VOTAW
Last Name:LOUX
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 1:3405 STOREY BLVD
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97405-2380
Mailing Address - Country:US
Mailing Address - Phone:541-510-6506
Mailing Address - Fax:
Practice Address - Street 1:3405 STOREY BLVD
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97405-2380
Practice Address - Country:US
Practice Address - Phone:541-510-6506
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-27
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR2138103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical