DR. ELIZABETH WOODROW PRATHER


Address: 4452 Park Blvd, San Diego, CA 92116-4051
Phone: 6192916905

DR. ELIZABETH WOODROW PRATHER (NPI# 1285752634) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1285752634
Entity Type Individual
Full Name DR. ELIZABETH WOODROW PRATHER
Credential PH.D.
Practice Address 4452 Park Blvd
San Diego
CA 92116-4051
Mailing Address Po Box 33452
San Diego
CA 92163-3452
Practice Telephone 6192916905
Mailing Telephone 6198474304
Mailing Fax Number 6194971132
Enumeration Date 2007-03-26
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
PSY16847 CA Behavioral Health & Social Service Providers

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Office Location

Street Address 4452 PARK BLVD
City SAN DIEGO
State CA
Zip Code 92116-4051

Providers in the same location

NPI Name Taxonomy Address Enumeration
1578599031 Pollyanna V Casmar Psychologist 4452 Park Blvd, Suite 310, San Diego, CA 92116-4051 2006-06-24
1861038846 Thomas D Jones Psychologist 4452 Park Blvd, San Diego, CA 92116-4051 2019-11-25
1578956199 William Latta Marriage & Family Therapist 4452 Park Blvd, Suite 304, San Diego, CA 92116-4051 2015-03-05
1750726105 Mallory Serbin Marriage & Family Therapist 4452 Park Blvd, Suite 302, San Diego, CA 92116-4051 2013-04-29
1780825075 Matthew Jacob Bruhin Counselor 4452 Park Blvd, Suite 214, San Diego, CA 92116-4051 2009-03-16
1033316468 Diane K. Pendragon Psychologist 4452 Park Blvd, Suite 101, San Diego, CA 92116-4051 2007-06-29
1992832109 Paul Standal Psychologist 4452 Park Blvd, 212, San Diego, CA 92116-4051 2007-02-27
1356481956 Cathy Sue Reto Psychologist 4452 Park Blvd, Suite 309, San Diego, CA 92116-4051 2007-02-06
1396800769 Maria Cecilia Ahrens Social Worker 4452 Park Blvd, Suite 204, San Diego, CA 92116-4051 2006-12-26
1407865678 Nancy E. Williford Social Worker 4452 Park Blvd, Suite 205, San Diego, CA 92116-4051 2006-08-06
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1255859450 Michael S Cohen Acupuncturist 1533 Monroe Ave, San Diego, CA 92116 2017-09-07
1013456052 Scarlett O'hara Speech-Language Pathologist 4204a Adams Avenue, San Diego, CA 92116 2017-02-22
1780123174 Elaine Oxina Occupational Therapist 4204 Adams Avenue A, Specialized Therapy Services, San Diego, CA 92116 2017-02-17
1699157321 Candice Dumais Occupational Therapist 4522 1/2 Georgia St, San Diego, CA 92116 2015-06-18
1558643908 Markus Steven Hill Student in an Organized Health Care Education/Training Program 4489 41st St, San Diego, CA 92116 2011-09-12
1457689309 Nirit Shoshana Blocker Physical Therapist 4663 Iowa St Unit 5, San Diego, CA 92116 2009-12-03
1780830257 Latrice Charlene Washington Counselor 3430 School St, San Diego, CA 92116 2008-08-15
1497901086 Kathryn Eris Zangaro Counselor 3430 School St., San Diego, CA 92116 2008-08-14
1508012535 Cyrus Satoafaiga Counselor 3430 School Street, San Diego, CA 92116 2008-08-11
1164692471 Kimberly Hoover L.ac. Acupuncturist 2852 Adams Avenue, San Diego, CA 92116 2008-03-04
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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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1396353520 Chandra Estelle Khalifian Psychologist 4975 Foothill Blvd, San Diego, CA 92109-2236 2020-07-14
1225661838 Sharon Saeedi Psy D Psychologist Inc Psychologist 185 W F St Ste 100l, San Diego, CA 92101-6029 2020-02-21
1609414242 Laura Beth Fitzpatrick Psychologist 3322 29th St, San Diego, CA 92104-4533 2019-12-13
1790329613 Growgood Psychology, Corp Psychologist 3405 Kenyon St # 513-06, San Diego, CA 92110-5003 2019-11-04
1891355996 Stephanie Ann Massey Psychologist 12625 High Bluff Dr Ste 206, San Diego, CA 92130-2053 2019-06-19
1225697543 Dr. Emily N. Kierce, Psychologist, A Professional Corporation Psychologist 402 W Broadway Ste 1925, San Diego, CA 92101-8505 2019-06-10
1023674884 Desiree Arlene Cuevas Psychologist 2525 Camino Del Rio S Ste 305, San Diego, CA 92108-3784 2019-05-16
1396212023 Paul William Randolph Psychologist 727 Robinson Ave Apt D, San Diego, CA 92103-4364 2018-10-31
1952876526 Amanda Cooney Psychologist 2515 Old Quarry Rd Apt 1314, San Diego, CA 92108-2759 2018-10-09
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Competitor

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City SAN DIEGO
Zip Code 92116

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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