Provider Demographics
NPI:1700115375
Name:LANDERS, ELIZABETH ASHTON (MA LPC,)
Entity Type:Individual
Prefix:MRS
First Name:ELIZABETH
Middle Name:ASHTON
Last Name:LANDERS
Suffix:
Gender:F
Credentials:MA LPC,
Other - Prefix:MRS
Other - First Name:LIZ
Other - Middle Name:ASHTON
Other - Last Name:LANDERS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MA LPC, NCC
Mailing Address - Street 1:PO BOX 748
Mailing Address - Street 2:
Mailing Address - City:EAST FALMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02536-1900
Mailing Address - Country:US
Mailing Address - Phone:970-389-7613
Mailing Address - Fax:
Practice Address - Street 1:29 SUNCREST DR
Practice Address - Street 2:
Practice Address - City:EAST FALMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02536-5942
Practice Address - Country:US
Practice Address - Phone:970-389-7613
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-10
Last Update Date:2024-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO6167101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional