Basic Information
Provider Information
NPI: 1568600187
EntityType: 2
ReplacementNPI:  
OrganizationName: ELIZABETH B SAYLORS, LPA PLLC
LastName:  
FirstName:  
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName: ENC PSYCHOLOGICAL SERVICES, PLLC
OtherOrganizationType: 3
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 304 N QUEEN ST
Address2:  
City: KINSTON
State: NC
PostalCode: 285014932
CountryCode: US
TelephoneNumber: 9197519120
FaxNumber: 9197519170
Practice Location
Address1: 304 N QUEEN ST
Address2:  
City: KINSTON
State: NC
PostalCode: 285014932
CountryCode: US
TelephoneNumber: 9197519120
FaxNumber: 9197519170
Other Information
ProviderEnumerationDate: 02/04/2009
LastUpdateDate: 01/24/2013
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode:  
AuthorizedOfficialLastName: SAYLORS
AuthorizedOfficialFirstName: ELIZABETH
AuthorizedOfficialMiddleName: B
AuthorizedOfficialTitleorPosition: OWNER
AuthorizedOfficialTelephone: 9197519120
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix: MRS.
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential: LPA
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
103T00000X  Y193200000X MULTI-SPECIALTY GROUPBehavioral Health & Social Service ProvidersPsychologist 

No ID Information.


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