Provider Demographics
NPI:1861837825
Name:SINGLETON, ELIZABETH LOUISE
Entity Type:Individual
Prefix:MRS
First Name:ELIZABETH
Middle Name:LOUISE
Last Name:SINGLETON
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 1:2527 EVERGREEN DR
Mailing Address - Street 2:
Mailing Address - City:COVINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:41017-9450
Mailing Address - Country:US
Mailing Address - Phone:859-409-9581
Mailing Address - Fax:
Practice Address - Street 1:2527 EVERGREEN DR
Practice Address - Street 2:
Practice Address - City:COVINGTON
Practice Address - State:KY
Practice Address - Zip Code:41017-9450
Practice Address - Country:US
Practice Address - Phone:859-409-9581
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-05
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY222Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist