Provider Demographics
NPI:1174923130
Name:TORREY, ELIZABETH ASHLEY (MED)
Entity type:Individual
Prefix:MRS
First Name:ELIZABETH
Middle Name:ASHLEY
Last Name:TORREY
Suffix:
Gender:F
Credentials:MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:330 CRESCENT ST
Mailing Address - Street 2:
Mailing Address - City:BROCKTON
Mailing Address - State:MA
Mailing Address - Zip Code:02302-3110
Mailing Address - Country:US
Mailing Address - Phone:508-587-5594
Mailing Address - Fax:508-584-4217
Practice Address - Street 1:330 CRESCENT ST
Practice Address - Street 2:
Practice Address - City:BROCKTON
Practice Address - State:MA
Practice Address - Zip Code:02302-3110
Practice Address - Country:US
Practice Address - Phone:508-587-5594
Practice Address - Fax:508-584-4217
Is Sole Proprietor?:No
Enumeration Date:2014-08-27
Last Update Date:2017-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor