Elizabeth Coleman Cates, PH.D.

Individual provider Active NPI Clinical Psychologist · Jonesborough, TN

NPI 1679528939 · NPPES record last updated Feb 21, 2008

Key facts

NPI
1679528939
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Psychologist 103TC0700X
License
P2741 (TN)
Practice address
111 E Main St
Suite 202
Jonesborough, TN 37659-1317
Phone
(423) 913-0400
Fax
(423) 753-7737
NPI assigned
May 24, 2006
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
P2741TNMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Wayne E Tasker Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X P2741 TN Yes

Addresses

Primary practice location

111 E Main St
Suite 202
Jonesborough, TN 37659-1317

Mailing address

111 E Main St
Suite 202
Jonesborough, TN 37659-1317
Phone (423) 913-0400

Other identifiers

IdentifierTypeStateIssuer
009575OtherVALUE OPTIONS

Other providers in Jonesborough, TN

All providers in Jonesborough, TN · Clinical Psychologist in Tennessee

Sources for this page

Verify at the official NPI Registry.