Provider Demographics
NPI:1528439536
Name:CINTRON, ELIZABETH JADAHI
Entity type:Individual
Prefix:MRS
First Name:ELIZABETH
Middle Name:JADAHI
Last Name:CINTRON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20688 HALIBUT COVE LN
Mailing Address - Street 2:
Mailing Address - City:EAGLE RIVER
Mailing Address - State:AK
Mailing Address - Zip Code:99577-8865
Mailing Address - Country:US
Mailing Address - Phone:907-570-1882
Mailing Address - Fax:
Practice Address - Street 1:20688 HALIBUT COVE LN
Practice Address - Street 2:
Practice Address - City:EAGLE RIVER
Practice Address - State:AK
Practice Address - Zip Code:99577-8865
Practice Address - Country:US
Practice Address - Phone:907-570-1882
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-16
Last Update Date:2015-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist