Provider Demographics
NPI:1053584102
Name:READING, ELISABETH ANN (PHD)
Entity type:Individual
Prefix:DR
First Name:ELISABETH
Middle Name:ANN
Last Name:READING
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1813 THOMAS DR
Mailing Address - Street 2:SUITE 9
Mailing Address - City:PANAMA CITY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32408-5834
Mailing Address - Country:US
Mailing Address - Phone:850-866-1614
Mailing Address - Fax:850-236-1707
Practice Address - Street 1:1813 THOMAS DR
Practice Address - Street 2:SUITE 9
Practice Address - City:PANAMA CITY BEACH
Practice Address - State:FL
Practice Address - Zip Code:32408-5834
Practice Address - Country:US
Practice Address - Phone:850-866-1614
Practice Address - Fax:850-236-1707
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-09
Last Update Date:2008-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY003607103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical