Individual provider · Type 1 NPI

Mary Jane Elliott, PhD

Clinical Psychologist · Winston Salem, NC

NPI number 1982825865 Active

Practice location

3779 Vest Mill Rd, Suite B
Winston Salem, NC 27103-2991

Fax (336) 740-9135

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist 103TC0700X18853 (CA)
Clinical Psychologist Primary 103TC0700X3939 (NC)

Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…

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About NPI 1982825865

Mary Jane Elliott, PhD's National Provider Identifier is 1982825865, issued on May 1, 2007. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Winston Salem, NC. The record was last updated on Aug 17, 2010.