Provider Demographics
NPI:1104447010
Name:EDDLEMAN, ELIZABETH SINGLETARY (MAC)
Entity type:Individual
Prefix:MRS
First Name:ELIZABETH
Middle Name:SINGLETARY
Last Name:EDDLEMAN
Suffix:
Gender:F
Credentials:MAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:308 ENTERPRISE DR
Mailing Address - Street 2:
Mailing Address - City:OXFORD
Mailing Address - State:MS
Mailing Address - Zip Code:38655-2944
Mailing Address - Country:US
Mailing Address - Phone:601-613-2071
Mailing Address - Fax:
Practice Address - Street 1:308 ENTERPRISE DR
Practice Address - Street 2:
Practice Address - City:OXFORD
Practice Address - State:MS
Practice Address - Zip Code:38655-2944
Practice Address - Country:US
Practice Address - Phone:601-613-2071
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-05-01
Last Update Date:2020-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral