Dr Elizabeth Jerison Terry, PHD is a
Clinical Neuropsychologist based in Los Angeles, California. Dr Elizabeth Jerison Terry is licensed to practice in California (license number PSY 20657) and her current practice location is
2211 Corinth Ave Ste 309, Los Angeles, California. She can be reached at her office (for appointments etc.) via phone at
(310) 454-3325.
NPI number for Dr Elizabeth Jerison Terry is 1811157910 and her current mailing address is 1112 Montana Ave, # 113, Santa Monica, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1811157910.
Healthcare Provider's Profile
| Full Name | Dr Elizabeth Jerison Terry |
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| Gender | Female |
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| Speciality | Clinical Neuropsychologist |
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| Location | 2211 Corinth Ave Ste 309, Los Angeles, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1811157910
- Provider Enumeration Date: 06/11/2008
- Last Update Date: 02/27/2021
Medical Identifiers
Medical identifiers for Dr Elizabeth Jerison Terry such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1811157910 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TB0200X | Psychologist - Cognitive & Behavioral | PSY 20657 (California) | Secondary |
| 103TC0700X | Psychologist - Clinical | PSY 20657 (California) | Secondary |
| 103TC2200X | Psychologist - Clinical Child & Adolescent | PSY 20657 (California) | Secondary |
| 103G00000X | Clinical Neuropsychologist | PSY 20657 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Elizabeth Jerison Terry is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Elizabeth Jerison Terry, PHD
1112 Montana Ave, # 113,
Santa Monica, CA 90403-1652
Ph: (310) 454-3325 | Dr Elizabeth Jerison Terry, PHD
2211 Corinth Ave Ste 309,
Los Angeles, CA 90064-1622
Ph: (310) 454-3325 |
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