Provider Demographics
NPI:1346128014
Name:COTTON, ELISABETH SANDSTROM (MA)
Entity type:Individual
Prefix:MS
First Name:ELISABETH
Middle Name:SANDSTROM
Last Name:COTTON
Suffix:
Gender:F
Credentials:MA
Other - Prefix:MS
Other - First Name:ELISABETH
Other - Middle Name:ANNETTE
Other - Last Name:SANDSTROM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BS
Mailing Address - Street 1:300 MCCONVILLE RD APT 64
Mailing Address - Street 2:
Mailing Address - City:LYNCHBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24502-5100
Mailing Address - Country:US
Mailing Address - Phone:402-490-5978
Mailing Address - Fax:
Practice Address - Street 1:575 LYNNHAVEN PKWY STE 305
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23452-7350
Practice Address - Country:US
Practice Address - Phone:948-212-3289
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-21
Last Update Date:2025-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist