Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TB0200X | Cognitive & Behavioral Psychologist | 2225 | NC |
NPI | 1225080450 |
---|---|
Provider Name | Ms. Elizabeth Ann Kauff-Hill |
First Address | Garner, NC 27529-7957 |
Second Address | Garner, NC 27529-7957 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/05/2006 |
Last Update Date | 09/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
141UF | BCBS PROVIDER NUMBER (01) | NC |
6107365 | (05) | NC |