Elizabeth a Derouin

NPI #1043831639 in Newton, North Carolina

Provider Information

NPI Number: 1043831639
Entity Type: Organization
Organization Name: Elizabeth a Derouin
Primary Specialty: Psychologist
Enumeration Date: May 5, 2020
Last Updated: Dec 2, 2020

Practice Location

Address: 422 W 9TH ST
City: Newton
State: North Carolina
ZIP Code: 28658-3819
Phone: (910) 494-6000

Authorized Official

Name: ELIZABETH ALEXANDRIA DEROUIN, PHD
Title: CLINICAL PSYCHOLOGIST
Phone: (910) 494-6000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Adult Development & Aging — Adult Development & Aging	103TA0700X
Psychologist - Cognitive & Behavioral — Cognitive & Behavioral	103TB0200X
Psychologist - Clinical — Clinical	103TC0700X
Psychologist - Clinical Child & Adolescent — Clinical Child & Adolescent	103TC2200X
Psychologist - Forensic — Forensic	103TF0200X
Psychologist	103T00000X	Primary

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