Provider Demographics
NPI:1508221664
Name:MCPHERSON, ELIZABETH LEIGH (MS CCC-A)
Entity Type:Individual
Prefix:MRS
First Name:ELIZABETH
Middle Name:LEIGH
Last Name:MCPHERSON
Suffix:
Gender:F
Credentials:MS CCC-A
Other - Prefix:
Other - First Name:LEIGH
Other - Middle Name:
Other - Last Name:STEINBERG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS CCC-A
Mailing Address - Street 1:1618 SE 29TH TER
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34471-4715
Mailing Address - Country:US
Mailing Address - Phone:352-732-5042
Mailing Address - Fax:
Practice Address - Street 1:1330 S. FORT HARRISON
Practice Address - Street 2:
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33756
Practice Address - Country:US
Practice Address - Phone:727-216-0700
Practice Address - Fax:727-216-0704
Is Sole Proprietor?:No
Enumeration Date:2015-12-16
Last Update Date:2024-01-10
Deactivation Date:2023-04-19
Deactivation Code:
Reactivation Date:2024-01-10
Provider Licenses
StateLicense IDTaxonomies
FLAY 632231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist