Provider Demographics
NPI:1225080450
Name:KAUFF-HILL, ELIZABETH ANN (MA)
Entity Type:Individual
Prefix:MS
First Name:ELIZABETH
Middle Name:ANN
Last Name:KAUFF-HILL
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:109 PROFESSIONAL CT
Mailing Address - Street 2:SUITE 105
Mailing Address - City:GARNER
Mailing Address - State:NC
Mailing Address - Zip Code:27529-7957
Mailing Address - Country:US
Mailing Address - Phone:919-662-3757
Mailing Address - Fax:919-662-3765
Practice Address - Street 1:109 PROFESSIONAL CT
Practice Address - Street 2:SUITE 105
Practice Address - City:GARNER
Practice Address - State:NC
Practice Address - Zip Code:27529-7957
Practice Address - Country:US
Practice Address - Phone:919-662-3757
Practice Address - Fax:919-662-3765
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-16
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2225103TB0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & Behavioral
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC141UFOtherBCBS PROVIDER NUMBER
NC6107365Medicaid