Provider Demographics
NPI:1144302910
Name:INKINEN-JUERGENSEN, ELIZABETH EMILY (MSED PCC-S)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:EMILY
Last Name:INKINEN-JUERGENSEN
Suffix:
Gender:F
Credentials:MSED PCC-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:37 N BROADWAY ST
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44308-1910
Mailing Address - Country:US
Mailing Address - Phone:330-535-8181
Mailing Address - Fax:330-535-9303
Practice Address - Street 1:37 N. BROADWAY ST.
Practice Address - Street 2:SUMMIT PSYCHOLOGICAL ASSOCIATES, INC.
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44308
Practice Address - Country:US
Practice Address - Phone:330-535-8181
Practice Address - Fax:330-535-9303
Is Sole Proprietor?:No
Enumeration Date:2006-10-20
Last Update Date:2011-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHC0006898101YP2500X
OHE0006898101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional