Eliot Dennard PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

37378 Issued in TX

Legal business name

ELIOT DENNARD PHD

Practice address

5502 58TH St Ste 600
Lubbock, TX 79414-2087

Phone

(806) 513-3920

NPI assigned

Jan 3, 2017

Last updated

Mar 17, 2018By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Elizabeth Eliot Dennard, PH.D.NPI 1558806729

Title

Owner

Phone

(405) 821-0843

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Elizabeth Eliot Dennard, PH.D.

  • Psychologist
  • Lubbock, TX
  • NPI 1558806729
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1483401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1417492372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5502 58TH STREET, SUITE 600",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794147723",
            "telephone_number": "405-821-0843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5502 58TH ST STE 600",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794142087",
            "telephone_number": "806-513-3920"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7021 Kewanee Ave",
            "address_2": "Building 2, Suite 104",
            "address_purpose": "LOCATION",
            "city": "Lubbock",
            "state": "TX",
            "postal_code": "794247048",
            "country_code": "US",
            "telephone_number": "405-821-0843",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ELIOT DENNARD PHD",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-03",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "DENNARD",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "ELIOT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-821-0843",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TX",
            "license": "37378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gordon David Elder, D.C.
• Ali Abdelnasser Eldouh, MD
• Nadia Eleda, NP
• Emadeldeen M Ahmed Elgwairi, MD
• Elias Ghandour, MD, PA
• Elite Primary Care and Wellness, PLLC
• Clarissa Syvonne Elizondo, PA
• Jacqueline Ann Elizondo, LAT, OTC, ROT, OPE-C
• Jose E Elizondo, PAC
• Joshua Eric Elizondo, PTA

• Psychologist in Lubbock, TX
• Providers in Lubbock, TX by specialty
• Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.