Provider Demographics
NPI:1770770653
Name:NAYLOR, ELIZABETH V (PHD)
Entity type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:V
Last Name:NAYLOR
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 1:47 MAPLE ST
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:VT
Mailing Address - Zip Code:05401-4861
Mailing Address - Country:US
Mailing Address - Phone:775-823-9660
Mailing Address - Fax:877-721-1841
Practice Address - Street 1:47 MAPLE ST
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:VT
Practice Address - Zip Code:05401-4861
Practice Address - Country:US
Practice Address - Phone:775-823-9660
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-09-25
Last Update Date:2019-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVPY0589103TC0700X
VT0480046669103TC0700X
NVPYT091214103TC0700X
VT047-0000739103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV1770770653Medicaid