Provider Demographics
NPI:1679252365
Name:OWENS-THOMAS, ELIZABETH JOYCE (MS, CGC, LGC)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:JOYCE
Last Name:OWENS-THOMAS
Suffix:
Gender:F
Credentials:MS, CGC, LGC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10506 MONTGOMERY RD STE 401
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:OH
Mailing Address - Zip Code:45242-4489
Mailing Address - Country:US
Mailing Address - Phone:513-865-1704
Mailing Address - Fax:513-852-8789
Practice Address - Street 1:10506 MONTGOMERY RD STE 401
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:OH
Practice Address - Zip Code:45242-4489
Practice Address - Country:US
Practice Address - Phone:513-865-1704
Practice Address - Fax:513-852-8789
Is Sole Proprietor?:No
Enumeration Date:2023-07-12
Last Update Date:2023-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH70.000355170300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS