Provider Demographics
NPI:1215281928
Name:PREAS, ELIZABETH JUNE (PHD)
Entity type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:JUNE
Last Name:PREAS
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:703 IRONWOOD DR
Mailing Address - Street 2:
Mailing Address - City:ALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:75002-4444
Mailing Address - Country:US
Mailing Address - Phone:903-517-5573
Mailing Address - Fax:
Practice Address - Street 1:703 IRONWOOD DR
Practice Address - Street 2:
Practice Address - City:ALLEN
Practice Address - State:TX
Practice Address - Zip Code:75002-4444
Practice Address - Country:US
Practice Address - Phone:903-517-5573
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-01
Last Update Date:2022-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE10914101YM0800X
NE5254101YM0800X
TX1-12-12165103K00000X
TX2205103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health