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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ELIZABETH DEROUIN, PHD

Active Sole Proprietor

ELIZABETH DEROUIN, PHD is a Psychologist healthcare provider located in CHARLOTTE, North Carolina. NPI 1275004111 is currently active in the NPPES registry. Verify at CMS.

Psychologist · CHARLOTTE, NC

Registration Details

NPI Number
1275004111
Provider Type
Individual
Gender
Female
NPI Issued
Dec 17, 2018 (7.6490650697916 yrs)
Last Updated
Dec 5, 2025
Licenses
5417 (NC)
0810007114 (VA)
Sole Proprietor
Yes

Practice Information

Address
10926 DAVID TAYLOR DR
SUITE 120 PMB1390
CHARLOTTE, NC, 282620039
Browse NC providers · Browse ZIP 28262
Phone
9104946000
Primary Specialty
Psychologist
103T00000X
Additional Specialty
Clinical Psychologist
Additional Specialty
Psychologist

Other Psychologist Providers in CHARLOTTE, NC

Name Credential NPI
BRYAN EDWARD CONNELL PHD 1891787255
MRS. SHAVONDA LATIEA BEAN MA, LPA 1770573990
DR. WILLIAM MICHAEL TYSON PHD 1790763308
DR. DAVID ALLAN RUSS PH.D 1285608794
DR. SALLY M DUFFY PHD 1396704458
DR. MADALYN E. TYSON PH.D. 1639138639
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.