Provider Demographics
NPI:1174768204
Name:PLATE, ELIZABETH ALLISON (LMSW)
Entity type:Individual
Prefix:MS
First Name:ELIZABETH
Middle Name:ALLISON
Last Name:PLATE
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1592
Mailing Address - Street 2:
Mailing Address - City:QUOGUE
Mailing Address - State:NY
Mailing Address - Zip Code:11959-1592
Mailing Address - Country:US
Mailing Address - Phone:516-702-3013
Mailing Address - Fax:
Practice Address - Street 1:6 MIDLAND ST # 1592
Practice Address - Street 2:1592
Practice Address - City:QUOGUE
Practice Address - State:NY
Practice Address - Zip Code:11959-9700
Practice Address - Country:US
Practice Address - Phone:516-702-3013
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-03
Last Update Date:2013-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health