Provider Demographics
NPI:1821312554
Name:ALFSON, ELIZABETH
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:
Last Name:ALFSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3307 NORTHLAND DR STE 325
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78731-4946
Mailing Address - Country:US
Mailing Address - Phone:512-273-7276
Mailing Address - Fax:844-354-1866
Practice Address - Street 1:3307 NORTHLAND DR STE 325
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78731-4946
Practice Address - Country:US
Practice Address - Phone:512-273-7276
Practice Address - Fax:844-354-1866
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-24
Last Update Date:2022-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXS33482084P0800X
MA2543722084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry