Provider Demographics
NPI:1841492527
Name:BIGGERS, ELIZABETH GLENN (PHD)
Entity type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:GLENN
Last Name:BIGGERS
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:DR
Other - First Name:BETSY
Other - Middle Name:GLENN
Other - Last Name:BIGGERS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHD
Mailing Address - Street 1:64 MERRIMON AVE
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28801-2323
Mailing Address - Country:US
Mailing Address - Phone:828-275-3496
Mailing Address - Fax:828-255-9152
Practice Address - Street 1:64 MERRIMON AVE
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801-2323
Practice Address - Country:US
Practice Address - Phone:828-255-9228
Practice Address - Fax:828-255-9152
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-04
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCLPC 4619174400000X
NC4619101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC242-44-9192DMedicare ID - Type UnspecifiedPART A AND PART B