Provider Demographics
NPI:1942023650
Name:ALCORN, ELIZABETH KAY (INTERN/STUDENT - LPC)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:KAY
Last Name:ALCORN
Suffix:
Gender:F
Credentials:INTERN/STUDENT - LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8671 MCDOUGAL ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80229-5131
Mailing Address - Country:US
Mailing Address - Phone:303-912-1184
Mailing Address - Fax:
Practice Address - Street 1:10050 RALSTON RD STE 1
Practice Address - Street 2:
Practice Address - City:ARVADA
Practice Address - State:CO
Practice Address - Zip Code:80004-4974
Practice Address - Country:US
Practice Address - Phone:303-912-1184
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-02
Last Update Date:2024-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program