Lizabeth M. Eckerd, Ph.D.
Psychologist, Clinical in Medford, OR. Individual provider (NPI-1).
NPI number1275929630
StatusActive
Last updated in NPPESMay 13, 2021
Details
- NPI
- 1275929630
- Entity type
- Individual (NPI-1)
- Name
- Lizabeth M. Eckerd
- Credential
- Ph.D.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 13, 2015
- Certification date
- May 13, 2021
- Last updated
- May 13, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | 2559 | OR | Yes |
| 103TC0700X | Psychologist, Clinical | 1716 | KY |
Practice location
4497 Brown Ridge Ter Ste 106Medford, OR 97504-9173
Phone 502-938-4723
Mailing address
4497 Brown Ridge Ter Ste 106Medford, OR 97504-9173
Phone 502-938-4723
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