Provider Demographics
NPI:1285797340
Name:PATERSON, ELIZABETH SCOTT (PHD)
Entity type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:SCOTT
Last Name:PATERSON
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 1:330 CACHE LA POUDRE
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80903-3641
Mailing Address - Country:US
Mailing Address - Phone:719-634-7504
Mailing Address - Fax:719-634-7502
Practice Address - Street 1:330 CACHE LA POUDRE
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80903-3641
Practice Address - Country:US
Practice Address - Phone:719-634-7504
Practice Address - Fax:719-634-7502
Is Sole Proprietor?:No
Enumeration Date:2006-12-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO627103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical