| Elizabeth M. Soety, Ph.d. | |
|
102 Gunn Rd Centerville GA 31028 | |
| (478) 953-0088 | |
| (478) 953-0093 |
| Full Name | Elizabeth M. Soety, Ph.d. |
|---|---|
| Speciality | Psychologist |
| Location | 102 Gunn Rd, Centerville, Georgia |
| Authorized Official Name and Position | Elizabeth Marie Soety (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 4789530088 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Elizabeth M. Soety, Ph.d. 102 Gunn Rd Centerville GA 31028-1706 Ph: (478) 953-0088 | Elizabeth M. Soety, Ph.d. 102 Gunn Rd Centerville GA 31028 Ph: (478) 953-0088 |
| NPI Number | 1013147743 |
|---|---|
| Provider Enumeration Date | 07/15/2009 |
| Last Update Date | 07/11/2018 |
| Medicare PECOS PAC ID | 7517003007 |
|---|---|
| Medicare Enrollment ID | O20091014000471 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013147743 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | 2815 (Georgia) | Secondary |
| 103TC0700X | Psychologist - Clinical | 2815 (Georgia) | Primary |
| Provider Name | Elizabeth M Soety |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1407815491 PECOS PAC ID: 6406823855 Enrollment ID: I20040914001259 |
Work In Progress Counseling And Consulting Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 102 Gunn Rd, Centerville, GA 31028 Phone: 478-953-0088 |