Provider Demographics
NPI:1780225631
Name:BUELL, ELIZABETH PAIGE (AUD, PHD)
Entity Type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:PAIGE
Last Name:BUELL
Suffix:
Gender:F
Credentials:AUD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:135 N FOREST LN
Mailing Address - Street 2:
Mailing Address - City:DOUBLE OAK
Mailing Address - State:TX
Mailing Address - Zip Code:75077-8204
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:601 S TOOL DR
Practice Address - Street 2:
Practice Address - City:TOOL
Practice Address - State:TX
Practice Address - Zip Code:75143-1959
Practice Address - Country:US
Practice Address - Phone:903-432-1932
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-10-02
Last Update Date:2019-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX80983231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist