Provider Demographics
NPI:1962670778
Name:JAMES, ELIZABETH MURDOCK (PHD)
Entity Type:Individual
Prefix:MRS
First Name:ELIZABETH
Middle Name:MURDOCK
Last Name:JAMES
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1771 E FLAMINGO RD STE 112B
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89119-0851
Mailing Address - Country:US
Mailing Address - Phone:702-641-2422
Mailing Address - Fax:702-893-9655
Practice Address - Street 1:1771 E FLAMINGO RD STE 112B
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89119-0851
Practice Address - Country:US
Practice Address - Phone:702-641-2422
Practice Address - Fax:702-893-9655
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-14
Last Update Date:2008-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVPYO336103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NVV37000/V37001Medicare UPIN