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Contact Information

ELIZABETH DENLUCK
3995 MARCOLA RD
SPRINGFIELD, OR97477-7948
 Phone: 541-726-1465
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Mental Health

101YM0800X
 

Behavior Analyst

103K00000X
Indicates primary specialty

NPI Profile & details for ELIZABETH DENLUCK · (Female)

NPI # 1306233747
Status Active
Credentials
Entity Individual
Enumeration date 04/23/2015
Last updated 07/20/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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