Provider Demographics
NPI:1740665132
Name:CONRAD, ELIZABETH MARIE (PSYD)
Entity type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:MARIE
Last Name:CONRAD
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22 CAXTON STREET
Mailing Address - Street 2:
Mailing Address - City:NAPIER
Mailing Address - State:NEW ZEALAND
Mailing Address - Zip Code:41100
Mailing Address - Country:NZ
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4 TREACHERS LANE
Practice Address - Street 2:
Practice Address - City:HAVELOCK NORTH
Practice Address - State:HAWKES BAY
Practice Address - Zip Code:41300
Practice Address - Country:NZ
Practice Address - Phone:027-203-9493
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-07-27
Last Update Date:2022-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL071009100103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical