Elizabeth A Divyak, PA-C
Elizabeth A Divyak, PA-C is a Speech-Language Pathologist in Madison, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2007.
- Licensed in
- WI
- In the registry since
- 2007
- Specialties on file
- 2
What do these letters mean?
- PA-C — Physician Assistant, Certified
- A physician assistant who holds current national certification.
Practice location Address checks out
700 S Park StMadison, WI 53715-1830
Phone: (608) 251-6100
Fax: (608) 258-6259
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence 5122-23 (WI) |
|---|---|
| Speech-Language Pathologist | Taxonomy 235Z00000X · Licence 3013-154 (WI) |
Record details
| NPI number | 1174710560 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PA-C |
| Sole proprietor | No |
| NPI enumerated | September 28, 2007 |
| Last updated in NPPES | January 18, 2021 |
| Certification date | January 18, 2021 |
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