P Praxis·MD
● Active Type 1 · Individual

DR. Elizabeth Marie Soety, PHD

Psychologist·Centerville, GA· NPI 1407815491 · Enumerated 2006 · 20 years on NPI
Soety is 1 of 2 psychologist providers in Centerville and 1 of 1487 in Georgia.
NPI age
20 years
Enumerated 2006-03-20
Primary specialty
Psychologist
Plus 1 subspecialty
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2018-07-11
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 1487 active psychologist providers in Georgia.

NPI age
20 years
↑ 3 yr above median (17 yr)
State licenses
1 state
6% of peers hold multiple states
Subspecialties
1
In the 18% of peers with subspecialties

NPI lifetime · 2006 → 2026

2006-03Enumerated in NPPES
2006 2026

Where they practice

Practice location
102 Gunn Rd
Centerville, GA 31028
📞 4789530088fax 4789530093
Mailing address
102 Gunn Rd
Centerville, GA 310281706
📞 4789530088fax 4789530093

Specialties

  • Psychologist Primary
    A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a...
    GA license #PSY002815 taxonomy 103TC0700X
  • Clinical Neuropsychologist
    A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated...
    GA license #PSY002815 taxonomy 103G00000X

Identifiers

TypeValueNotes
01 (GA) 52703377 BLUE CROSS BLUE SHIELD
05 (GA) 358345266A

Practice context

Part of a multi-provider practice. 4 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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