Provider Demographics
NPI:1891025870
Name:COMMERCE TOWNSHIP PSYCHIATRY,PLLC
Entity Type:Organization
Organization Name:COMMERCE TOWNSHIP PSYCHIATRY,PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHIATRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:J
Authorized Official - Last Name:ELDON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:248-225-7232
Mailing Address - Street 1:6021 CARROLL LAKE RD
Mailing Address - Street 2:
Mailing Address - City:COMMERCE TOWNSHIP
Mailing Address - State:MI
Mailing Address - Zip Code:48382-3136
Mailing Address - Country:US
Mailing Address - Phone:248-225-7232
Mailing Address - Fax:
Practice Address - Street 1:6021 CARROLL LAKE RD
Practice Address - Street 2:
Practice Address - City:COMMERCE TOWNSHIP
Practice Address - State:MI
Practice Address - Zip Code:48382-3136
Practice Address - Country:US
Practice Address - Phone:248-225-7232
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-13
Last Update Date:2010-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI43014070712084P0805X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0805XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyGeriatric PsychiatryGroup - Single Specialty