Provider Demographics
NPI:1922627561
Name:DUPREY, ELIZABETH JOANNA
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:JOANNA
Last Name:DUPREY
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 1:3012 W NAPOLEON AVE
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33611-5324
Mailing Address - Country:US
Mailing Address - Phone:954-803-2961
Mailing Address - Fax:
Practice Address - Street 1:3012 W NAPOLEON AVE
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33611-5324
Practice Address - Country:US
Practice Address - Phone:954-803-2961
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-04-14
Last Update Date:2020-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL14337101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health